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 / $182.50	Facility	26	$125.00	$125.00	$182.50
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 $37.06 / $39.43 / $42.98	Professional	26	$37.06	$39.43	$42.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $47.12 / $140.33	Professional	26	$24.31	$47.12	$140.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $62.77 / $62.77	Professional	26	$28.87	$62.77	$62.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.25 / $33.36 / $93.53	Professional	26	$24.25	$33.36	$93.53