Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.22 / $190.20 / $381.25	Facility	26	$53.22	$190.20	$381.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.33 / $216.14 / $254.48	Professional		$192.33	$216.14	$254.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $53.22 / $70.01	Professional	26	$45.18	$53.22	$70.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.33 / $232.47 / $393.81	Professional		$206.33	$232.47	$393.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $59.59 / $90.21	Professional	26	$51.54	$59.59	$90.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $265.89 / $941.82	Professional		$157.69	$265.89	$941.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.97 / $72.09 / $226.69	Professional	26	$46.97	$72.09	$226.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.97 / $267.44 / $519.86	Professional		$230.97	$267.44	$519.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.57 / $68.97 / $131.13	Professional	26	$59.57	$68.97	$131.13
United Facility/Professional Professional Modifier Low / Median / High Price $164.05 / $243.98 / $658.73	Professional		$164.05	$243.98	$658.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $67.66 / $166.16	Professional	26	$38.59	$67.66	$166.16