Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $194.98 / $316.23	Facility	26	$43.65	$194.98	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $363.08	Professional		$95.50	$144.54	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $446.68	Professional		$79.43	$131.83	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $302.00	Professional		$100.00	$134.90	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $275.42	Professional		$128.82	$138.04	$275.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $54.95 / $109.65	Professional	26	$52.48	$54.95	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $354.81	Professional		$100.00	$120.23	$354.81