Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.45 / $221.63 / $592.05	Facility	26	$83.45	$221.63	$592.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $160.13 / $240.94	Professional		$150.69	$160.13	$240.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.42 / $83.45 / $112.33	Professional	26	$52.42	$83.45	$112.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $204.10 / $1,247.26	Professional		$193.09	$204.10	$1,247.26
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $91.53 / $138.55	Professional	26	$75.56	$91.53	$138.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $379.45 / $796.90	Professional		$150.66	$379.45	$796.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $83.46 / $348.14	Professional	26	$54.52	$83.46	$348.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $207.15 / $391.54	Professional		$178.90	$207.15	$391.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.94 / $108.77 / $203.64	Professional	26	$93.94	$108.77	$203.64
United Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $260.02 / $496.13	Professional		$148.87	$260.02	$496.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $105.66 / $258.02	Professional	26	$44.97	$105.66	$258.02