Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.06 / $104.74 / $202.51	Facility	26	$22.06	$104.74	$202.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $56.95 / $64.05	Professional		$53.08	$56.95	$64.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $66.88 / $195.81	Professional		$64.22	$66.88	$195.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $79.65 / $245.85	Professional		$53.60	$79.65	$245.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $73.70 / $139.36	Professional		$63.66	$73.70	$139.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.83 / $28.75 / $53.89	Professional	26	$24.83	$28.75	$53.89
United Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $56.98 / $176.59	Professional		$51.42	$56.98	$176.59