Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.57 / $155.49 / $303.00	Facility	26	$36.57	$155.49	$303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $103.39 / $103.39	Professional		$95.82	$103.39	$103.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $36.57 / $37.24	Professional	26	$35.19	$36.57	$37.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $120.24 / $358.14	Professional		$99.90	$120.24	$358.14
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $44.60 / $48.61	Professional	26	$40.14	$44.60	$48.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $143.46 / $426.86	Professional		$98.15	$143.46	$426.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $57.86 / $151.55	Professional	26	$35.60	$57.86	$151.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $256.79 / $256.79	Professional		$119.20	$256.79	$256.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.28 / $91.47 / $91.47	Professional	26	$42.28	$91.47	$91.47
United Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $139.47 / $325.39	Professional		$78.34	$139.47	$325.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $85.77 / $115.91	Professional	26	$35.20	$85.77	$115.91