Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.84 / $271.72 / $521.59	Facility	26	$57.84	$271.72	$521.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.81 / $334.32 / $334.32	Professional		$306.81	$334.32	$334.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $57.84 / $139.97	Professional	26	$55.81	$57.84	$139.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.82 / $444.52 / $1,029.18	Professional		$407.82	$444.52	$1,029.18
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $71.39 / $71.39 / $77.81	Professional	26	$71.39	$71.39	$77.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.62 / $405.90 / $1,713.74	Professional		$301.62	$405.90	$1,713.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.27 / $108.50 / $289.68	Professional	26	$54.27	$108.50	$289.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.17 / $803.95 / $803.95	Professional		$358.17	$803.95	$803.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.44 / $141.88 / $141.88	Professional	26	$64.44	$141.88	$141.88
United Facility/Professional Professional Modifier Low / Median / High Price $287.76 / $544.97 / $1,202.63	Professional		$287.76	$544.97	$1,202.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.41 / $91.67 / $212.24	Professional	26	$53.41	$91.67	$212.24