Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.12 / $81.59 / $213.50	Facility	26	$27.12	$81.59	$213.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $123.88 / $133.72	Professional		$113.98	$123.88	$133.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $27.12 / $27.12	Professional	26	$26.20	$27.12	$27.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $156.44 / $377.04	Professional		$139.38	$156.44	$377.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $32.21 / $35.11	Professional	26	$28.70	$32.21	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $161.24 / $623.45	Professional		$98.06	$161.24	$623.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $40.13 / $108.36	Professional	26	$25.63	$40.13	$108.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $262.27 / $262.27	Professional		$115.81	$262.27	$262.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.84 / $67.91 / $67.91	Professional	26	$30.84	$67.91	$67.91
United Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $150.86 / $332.34	Professional		$105.50	$150.86	$332.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $39.46 / $86.05	Professional	26	$21.21	$39.46	$86.05