Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $412.78 / $2,118.19 / $4,231.83	Facility	26	$412.78	$2,118.19	$4,231.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.12 / $859.47 / $859.47	Professional		$801.12	$859.47	$859.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $395.20 / $412.78 / $521.64	Professional	26	$395.20	$412.78	$521.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,076.14 / $1,076.14 / $2,961.18	Professional		$1,076.14	$1,076.14	$2,961.18
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $519.38 / $519.38 / $1,152.48	Professional	26	$519.38	$519.38	$1,152.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.12 / $936.17 / $4,168.97	Professional		$731.12	$936.17	$4,168.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $467.24 / $533.88 / $2,012.08	Professional	26	$467.24	$533.88	$2,012.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.99 / $2,147.42 / $2,147.42	Professional		$990.99	$2,147.42	$2,147.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $474.28 / $1,024.18 / $1,024.18	Professional	26	$474.28	$1,024.18	$1,024.18
United Facility/Professional Professional Modifier Low / Median / High Price $647.76 / $1,234.38 / $3,044.52	Professional		$647.76	$1,234.38	$3,044.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $429.78 / $630.73 / $1,452.03	Professional	26	$429.78	$630.73	$1,452.03