Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.49 / $224.87 / $440.23	Facility	26	$47.49	$224.87	$440.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $119.58 / $119.58	Professional		$111.55	$119.58	$119.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $167.04 / $1,185.59	Professional		$163.94	$167.04	$1,185.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $355.16 / $636.61	Professional		$112.85	$355.16	$636.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.01 / $155.16 / $292.67	Professional		$134.01	$155.16	$292.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.81 / $62.30 / $116.07	Professional	26	$53.81	$62.30	$116.07
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $223.70 / $372.46	Professional		$131.63	$223.70	$372.46