Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $630.96	Facility	26	$87.10	$87.10	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $575.44	Professional		$295.12	$354.81	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $3,235.94	Professional		$323.59	$446.68	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,000.00	Professional		$338.84	$478.63	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $831.76	Professional		$354.81	$426.58	$831.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $114.82 / $218.78	Professional	26	$100.00	$114.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $1,258.93	Professional		$354.81	$691.83	$1,258.93