Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $26.05 / $55.85	Facility	26	$7.75	$26.05	$55.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $78.84 / $78.84	Professional		$72.18	$78.84	$78.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $100.25 / $819.30	Professional		$91.97	$100.25	$819.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $132.90 / $394.62	Professional		$74.27	$132.90	$394.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $194.18 / $194.18	Professional		$88.19	$194.18	$194.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $19.21 / $19.21	Professional	26	$8.73	$19.21	$19.21
United Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $121.88 / $290.48	Professional		$74.12	$121.88	$290.48