Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $109.65 / $239.88	Facility	26	$33.11	$109.65	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $616.60	Professional		$204.17	$251.19	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $128.82	Professional	26	$23.99	$33.11	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $575.44 / $794.33	Professional		$112.20	$575.44	$794.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.90 / $43.65	Professional	26	$36.31	$38.90	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $1,348.96	Professional		$239.88	$338.84	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $63.10 / $165.96	Professional	26	$31.62	$63.10	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $645.65	Professional		$288.40	$331.13	$645.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $43.65 / $81.28	Professional	26	$38.02	$43.65	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $371.54 / $954.99	Professional		$141.25	$371.54	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $46.77 / $123.03	Professional	26	$30.90	$46.77	$123.03