Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.48 / $70.69 / $154.96	Facility	26	$21.48	$70.69	$154.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $73.81 / $188.28	Professional		$68.20	$73.81	$188.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $21.48 / $38.78	Professional	26	$16.71	$21.48	$38.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $88.61 / $353.22	Professional		$84.78	$88.61	$353.22
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $28.74 / $31.33	Professional	26	$19.32	$28.74	$31.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $166.81 / $314.24	Professional		$70.34	$166.81	$314.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.62 / $91.42	Professional	26	$17.78	$25.62	$91.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $96.72 / $183.94	Professional		$83.53	$96.72	$183.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.57 / $28.45 / $53.30	Professional	26	$24.57	$28.45	$53.30
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $106.19 / $375.00	Professional		$70.79	$106.19	$375.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.73 / $33.90 / $67.53	Professional	26	$13.73	$33.90	$67.53