Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.64 / $75.41 / $276.31	Facility	26	$27.64	$75.41	$276.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $400.00 / $475.00	Professional		$130.13	$400.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.79 / $118.59 / $140.00	Professional	26	$29.79	$118.59	$140.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $78.59 / $2,755.69	Professional		$76.53	$78.59	$2,755.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $13.42 / $14.63	Professional	26	$12.64	$13.42	$14.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $109.31 / $221.11	Professional		$61.00	$109.31	$221.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $17.00 / $48.71	Professional	26	$9.92	$17.00	$48.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $56.47 / $110.62	Professional		$47.03	$56.47	$110.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $13.64 / $25.94	Professional	26	$11.78	$13.64	$25.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $68.13 / $170.41	Professional		$45.40	$68.13	$170.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $14.12 / $39.96	Professional	26	$9.69	$14.12	$39.96