Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.77 / $298.36 / $583.69	Facility	26	$67.77	$298.36	$583.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $165.52 / $337.51	Professional		$165.52	$165.52	$337.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.77 / $67.77 / $118.85	Professional	26	$67.77	$67.77	$118.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $193.54 / $460.29	Professional		$183.99	$193.54	$460.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $82.48 / $82.48 / $160.38	Professional	26	$82.48	$82.48	$160.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $222.41 / $524.38	Professional		$146.84	$222.41	$524.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.56 / $92.13 / $226.79	Professional	26	$64.56	$92.13	$226.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $214.74 / $410.77	Professional		$180.33	$214.74	$410.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.62 / $88.79 / $168.02	Professional	26	$76.62	$88.79	$168.02
United Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $178.89 / $565.42	Professional		$144.66	$178.89	$565.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.54 / $80.12 / $243.46	Professional	26	$60.54	$80.12	$243.46