Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.08 / $296.50 / $688.94	Facility	26	$80.08	$296.50	$688.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $189.03 / $471.23	Professional		$165.28	$189.03	$471.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.08 / $84.71 / $193.79	Professional	26	$80.08	$84.71	$193.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.54 / $200.54 / $699.57	Professional		$200.54	$200.54	$699.57
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $103.20 / $103.20 / $251.10	Professional	26	$103.20	$103.20	$251.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $270.25 / $551.79	Professional		$153.80	$270.25	$551.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.70 / $114.53 / $290.85	Professional	26	$75.70	$114.53	$290.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.46 / $216.45 / $411.62	Professional		$182.46	$216.45	$411.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.84 / $104.08 / $197.92	Professional	26	$89.84	$104.08	$197.92
United Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $173.81 / $566.61	Professional		$166.17	$173.81	$566.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.88 / $94.38 / $272.45	Professional	26	$72.88	$94.38	$272.45