Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $369.29 / $716.02	Facility	26	$118.59	$369.29	$716.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $734.24	Professional		$400.00	$400.00	$734.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $118.59 / $198.43	Professional	26	$110.00	$118.59	$198.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $451.72 / $452.55 / $1,818.08	Professional		$451.72	$452.55	$1,818.08
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $90.22 / $100.24 / $105.00	Professional	26	$90.22	$100.24	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.83 / $718.16 / $1,294.20	Professional		$362.83	$718.16	$1,294.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.15 / $123.44 / $349.78	Professional	26	$71.15	$123.44	$349.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.19 / $662.66 / $662.66	Professional		$296.19	$662.66	$662.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.49 / $185.24 / $185.24	Professional	26	$84.49	$185.24	$185.24
United Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $453.40 / $1,020.83	Professional		$249.48	$453.40	$1,020.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.17 / $98.22 / $285.36	Professional	26	$74.17	$98.22	$285.36