Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $97.72	Facility	26	$12.88	$60.26	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $117.49	Professional		$64.57	$89.13	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $48.98	Professional	26	$12.02	$14.13	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $104.71 / $257.04	Professional		$15.49	$104.71	$257.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.49 / $16.98	Professional	26	$13.49	$15.49	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $257.04	Professional		$67.61	$93.33	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $38.90	Professional	26	$12.88	$18.20	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $251.19	Professional		$107.15	$128.82	$251.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.62 / $33.11	Professional	26	$15.85	$18.62	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $316.23	Professional		$60.26	$107.15	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.78 / $42.66	Professional	26	$12.02	$17.78	$42.66