Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $181.97	Facility	26	$25.12	$25.12	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $138.04	Professional		$75.86	$87.10	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $363.08	Professional		$67.61	$104.71	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $223.87	Professional		$75.86	$114.82	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $218.78	Professional		$97.72	$107.15	$218.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $30.90 / $61.66	Professional	26	$28.84	$30.90	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $281.84	Professional		$83.18	$97.72	$281.84