Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $554.24	Facility	26	$125.00	$125.00	$554.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.00 / $125.00 / $125.00	Professional	26	$125.00	$125.00	$125.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $93.78 / $103.82 / $113.16	Professional	26	$93.78	$103.82	$113.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.22 / $140.16 / $424.47	Professional	26	$73.22	$140.16	$424.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.95 / $190.63 / $190.63	Professional	26	$86.95	$190.63	$190.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.98 / $124.58 / $284.04	Professional	26	$71.98	$124.58	$284.04