Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.51 / $214.04 / $416.93	Facility	26	$47.51	$214.04	$416.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $113.01 / $209.93	Professional		$105.77	$113.01	$209.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $161.66 / $1,222.99	Professional		$152.76	$161.66	$1,222.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $336.45 / $635.40	Professional		$104.51	$336.45	$635.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $143.69 / $276.49	Professional		$124.10	$143.69	$276.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $61.42 / $116.82	Professional	26	$53.05	$61.42	$116.82
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $216.27 / $358.22	Professional		$124.65	$216.27	$358.22