Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $252.44 / $252.44 / $1,822.94	Facility	26	$252.44	$252.44	$1,822.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.19 / $857.43 / $857.43	Professional		$791.19	$857.43	$857.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,081.55 / $1,081.55 / $3,741.34	Professional		$1,081.55	$1,081.55	$3,741.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.61 / $1,461.45 / $4,180.84	Professional		$827.61	$1,461.45	$4,180.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.78 / $2,138.17 / $2,138.17	Professional		$982.78	$2,138.17	$2,138.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $289.88 / $626.99 / $626.99	Professional	26	$289.88	$626.99	$626.99
United Facility/Professional Professional Modifier Low / Median / High Price $767.17 / $1,312.13 / $3,031.41	Professional		$767.17	$1,312.13	$3,031.41