Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.58 / $173.71 / $337.82	Facility	26	$39.58	$173.71	$337.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $109.68 / $109.68	Professional		$101.85	$109.68	$109.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $155.02 / $653.92	Professional		$141.37	$155.02	$653.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $252.99 / $472.29	Professional		$99.50	$252.99	$472.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $262.58 / $262.58	Professional		$118.15	$262.58	$262.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.44 / $95.64 / $95.64	Professional	26	$43.44	$95.64	$95.64
United Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $203.68 / $332.73	Professional		$106.27	$203.68	$332.73