Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $107.15 / $177.83	Facility	26	$23.99	$107.15	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $223.87	Professional		$58.88	$81.28	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $77.62 / $323.59	Professional		$28.18	$77.62	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $165.96	Professional		$57.54	$89.13	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $162.18	Professional		$74.13	$79.43	$162.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $30.20 / $60.26	Professional	26	$28.18	$30.20	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $213.80	Professional		$60.26	$74.13	$213.80