Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $250.72 / $646.38	Facility	26	$75.00	$250.72	$646.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $181.64 / $316.69	Professional		$145.56	$181.64	$316.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $222.10 / $403.96	Professional		$72.93	$222.10	$403.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $240.16 / $618.91	Professional		$162.19	$240.16	$618.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.82 / $231.88 / $447.42	Professional		$194.82	$231.88	$447.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.48 / $97.87 / $186.11	Professional	26	$84.48	$97.87	$186.11
United Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $217.87 / $648.29	Professional		$163.13	$217.87	$648.29