Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.25 / $214.69 / $425.07	Facility	26	$50.25	$214.69	$425.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $124.14 / $268.18	Professional		$108.51	$124.14	$268.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $134.46 / $197.87	Professional		$118.77	$134.46	$197.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $145.22 / $372.34	Professional		$100.73	$145.22	$372.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $138.50 / $269.02	Professional		$116.64	$138.50	$269.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.89 / $64.70 / $123.06	Professional	26	$55.89	$64.70	$123.06
United Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $137.68 / $370.32	Professional		$102.87	$137.68	$370.32