Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $288.40 / $302.00	Facility	26	$33.88	$288.40	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $190.55	Professional		$57.54	$102.33	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $602.56	Professional		$54.95	$81.28	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $269.15	Professional		$60.26	$169.82	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $234.42	Professional		$72.44	$77.62	$234.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $42.66 / $117.49	Professional	26	$39.81	$42.66	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $229.09	Professional		$87.10	$125.89	$229.09