Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.06 / $103.22 / $197.01	Facility	26	$22.06	$103.22	$197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $100.07 / $242.16	Professional		$92.23	$100.07	$242.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $137.15 / $1,036.83	Professional		$132.13	$137.15	$1,036.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $297.93 / $602.23	Professional		$95.55	$297.93	$602.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $131.38 / $249.03	Professional		$113.47	$131.38	$249.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.20 / $29.18 / $55.47	Professional	26	$25.20	$29.18	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $167.98 / $315.55	Professional		$111.98	$167.98	$315.55