Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $295.12 / $489.78	Facility	26	$67.61	$295.12	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $263.03	Professional		$131.83	$169.82	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $194.98	Professional	26	$57.54	$70.79	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $194.98 / $616.60	Professional		$72.44	$194.98	$616.60
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $81.28 / $147.91	Professional	26	$72.44	$81.28	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $416.87	Professional		$138.04	$190.55	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $169.82	Professional	26	$58.88	$85.11	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $407.38	Professional		$190.55	$204.17	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $83.18 / $169.82	Professional	26	$79.43	$83.18	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $524.81	Professional		$147.91	$177.83	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $218.78	Professional	26	$63.10	$77.62	$218.78