Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $291.83 / $449.99	Facility	26	$118.59	$291.83	$449.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $118.59	Professional	26	$118.59	$118.59	$118.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $539.48 / $1,553.62	Professional		$463.29	$539.48	$1,553.62
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $72.83 / $83.75 / $85.86	Professional	26	$72.83	$83.75	$85.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.96 / $475.19 / $2,105.03	Professional		$353.96	$475.19	$2,105.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $99.20 / $307.33	Professional	26	$58.33	$99.20	$307.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.19 / $1,015.33 / $1,015.33	Professional		$474.19	$1,015.33	$1,015.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.38 / $154.77 / $154.77	Professional	26	$74.38	$154.77	$154.77
United Facility/Professional Professional Modifier Low / Median / High Price $368.66 / $568.11 / $1,564.13	Professional		$368.66	$568.11	$1,564.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.80 / $176.44 / $238.42	Professional	26	$63.80	$176.44	$238.42