Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.01 / $103.47 / $211.91	Facility	26	$20.01	$103.47	$211.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $71.29	Professional		$44.04	$44.04	$71.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.01 / $20.01 / $26.82	Professional	26	$20.01	$20.01	$26.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $67.34 / $221.40	Professional		$64.48	$67.34	$221.40
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $29.26 / $30.36 / $33.53	Professional	26	$29.26	$30.36	$33.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $94.22 / $194.10	Professional		$41.77	$94.22	$194.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.26 / $33.92 / $69.88	Professional	26	$19.26	$33.92	$69.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $109.24 / $109.24	Professional		$52.22	$109.24	$109.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $49.56 / $49.56	Professional	26	$24.08	$49.56	$49.56
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $63.43 / $158.28	Professional		$45.83	$63.43	$158.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.94 / $27.14 / $71.81	Professional	26	$20.94	$27.14	$71.81