Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $309.47 / $604.08	Facility	26	$118.59	$309.47	$604.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $425.00	Professional		$400.00	$400.00	$425.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $542.52 / $578.86 / $1,757.76	Professional		$542.52	$578.86	$1,757.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.92 / $692.02 / $1,597.61	Professional		$450.92	$692.02	$1,597.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.60 / $810.13 / $810.13	Professional		$360.60	$810.13	$810.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $168.96 / $168.96	Professional	26	$76.73	$168.96	$168.96
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $474.00 / $1,248.02	Professional		$336.82	$474.00	$1,248.02