Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.49 / $101.61 / $260.43	Facility	26	$30.49	$101.61	$260.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $112.12 / $219.39	Professional		$108.25	$112.12	$219.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $141.93 / $277.55	Professional		$141.93	$141.93	$277.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $150.74 / $363.90	Professional		$101.41	$150.74	$363.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $141.56 / $274.86	Professional		$118.20	$141.56	$274.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $39.79 / $75.66	Professional	26	$34.36	$39.79	$75.66
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.51 / $378.35	Professional		$100.00	$158.51	$378.35