Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $288.01 / $435.92	Facility	26	$125.00	$288.01	$435.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.00 / $125.00 / $160.94	Professional	26	$125.00	$125.00	$160.94
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $73.76 / $85.09 / $92.75	Professional	26	$73.76	$85.09	$92.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.65 / $115.88 / $329.10	Professional	26	$57.65	$115.88	$329.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.47 / $149.93 / $149.93	Professional	26	$68.47	$149.93	$149.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.87 / $198.83 / $223.40	Professional	26	$52.87	$198.83	$223.40