Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $288.40 / $436.52	Facility	26	$125.89	$288.40	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $162.18 / $549.54	Professional	26	$125.89	$162.18	$549.54
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $97.72	Professional	26	$67.61	$85.11	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $114.82 / $331.13	Professional	26	$57.54	$114.82	$331.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $141.25 / $151.36	Professional	26	$69.18	$141.25	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $223.87	Professional	26	$52.48	$85.11	$223.87