Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.50 / $242.88 / $470.95	Facility	26	$53.50	$242.88	$470.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $196.68 / $383.66	Professional		$181.55	$196.68	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $53.50 / $60.00	Professional	26	$51.64	$53.50	$60.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.56 / $337.26 / $1,198.28	Professional		$282.56	$337.26	$1,198.28
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $65.98 / $77.84	Professional	26	$61.05	$65.98	$77.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.18 / $472.38 / $931.50	Professional		$280.18	$472.38	$931.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.43 / $87.50 / $251.10	Professional	26	$50.43	$87.50	$251.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.71 / $478.64 / $478.64	Professional		$213.71	$478.64	$478.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.89 / $131.86 / $131.86	Professional	26	$59.89	$131.86	$131.86
United Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $333.36 / $726.51	Professional		$198.78	$333.36	$726.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $71.56 / $200.15	Professional	26	$24.64	$71.56	$200.15