Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $70.79 / $154.88	Facility	26	$20.89	$70.79	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $257.04	Professional		$63.10	$81.28	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $29.51 / $58.88	Professional	26	$15.49	$29.51	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $87.10 / $467.74	Professional		$23.44	$87.10	$467.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.12 / $25.70	Professional	26	$17.38	$25.12	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $223.87	Professional		$70.79	$138.04	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $64.57	Professional	26	$16.98	$20.89	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $181.97	Professional		$87.10	$93.33	$181.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $26.92 / $53.70	Professional	26	$25.70	$26.92	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $234.42	Professional		$70.79	$120.23	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $30.20 / $67.61	Professional	26	$13.80	$30.20	$67.61