Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.96 / $93.67 / $180.79	Facility	26	$20.96	$93.67	$180.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $132.86 / $132.86	Professional		$121.85	$132.86	$132.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $20.96 / $21.44	Professional	26	$20.28	$20.96	$21.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $143.65 / $263.12	Professional		$123.75	$143.65	$263.12
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $23.02 / $25.58 / $27.88	Professional	26	$23.02	$25.58	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $150.10 / $575.91	Professional		$100.27	$150.10	$575.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.25 / $34.03 / $86.37	Professional	26	$19.25	$34.03	$86.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $165.99 / $322.10	Professional		$143.36	$165.99	$322.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $26.47 / $51.12	Professional	26	$22.86	$26.47	$51.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $186.78 / $408.14	Professional		$89.83	$186.78	$408.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $32.56 / $64.78	Professional	26	$19.01	$32.56	$64.78