Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $93.33 / $147.91	Facility	26	$19.95	$93.33	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Professional		$87.10	$123.03	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $46.77	Professional	26	$19.05	$21.88	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $134.90 / $354.81	Professional		$23.99	$134.90	$354.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $22.39 / $26.30	Professional	26	$21.38	$22.39	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $338.84	Professional		$95.50	$128.82	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $63.10	Professional	26	$19.50	$27.54	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $323.59	Professional		$141.25	$154.88	$323.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $24.55 / $51.29	Professional	26	$23.44	$24.55	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $407.38	Professional		$89.13	$154.88	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.84 / $64.57	Professional	26	$19.05	$28.84	$64.57