Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.11 / $66.11 / $476.11	Facility	26	$66.11	$66.11	$476.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $351.81 / $351.81	Professional		$322.70	$351.81	$351.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $421.28 / $621.91	Professional		$421.28	$421.28	$621.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.88 / $569.51 / $1,728.20	Professional		$335.88	$569.51	$1,728.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.86 / $873.39 / $873.39	Professional		$398.86	$873.39	$873.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.47 / $163.75 / $163.75	Professional	26	$75.47	$163.75	$163.75
United Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $527.09 / $1,238.25	Professional		$299.39	$527.09	$1,238.25