Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.36 / $354.94 / $677.29	Facility	26	$82.36	$354.94	$677.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $145.88 / $250.13	Professional		$137.77	$145.88	$250.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.12 / $82.36 / $82.56	Professional	26	$80.12	$82.36	$82.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $192.34 / $1,371.70	Professional		$184.58	$192.34	$1,371.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $92.23 / $126.00	Professional	26	$83.00	$92.23	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $401.58 / $742.01	Professional		$137.22	$401.58	$742.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.09 / $126.30 / $354.04	Professional	26	$78.09	$126.30	$354.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $188.68 / $360.44	Professional		$162.94	$188.68	$360.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.01 / $107.70 / $204.00	Professional	26	$93.01	$107.70	$204.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $239.93 / $456.72	Professional		$159.94	$239.93	$456.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.02 / $110.03 / $258.50	Professional	26	$72.02	$110.03	$258.50