Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $79.43 / $169.82	Facility	26	$22.91	$79.43	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $162.18	Professional		$40.74	$56.23	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $251.19	Professional		$33.88	$52.48	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $120.23	Professional		$40.74	$63.10	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $112.20	Professional		$52.48	$56.23	$112.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $28.84 / $57.54	Professional	26	$27.54	$28.84	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $144.54	Professional		$43.65	$52.48	$144.54