Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $389.05 / $575.44	Facility	26	$125.89	$389.05	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $125.89 / $371.54	Professional	26	$125.89	$125.89	$371.54
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $102.33 / $131.83	Professional	26	$91.20	$102.33	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $154.88 / $426.58	Professional	26	$75.86	$154.88	$426.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $104.71 / $199.53	Professional	26	$91.20	$104.71	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $109.65 / $295.12	Professional	26	$70.79	$109.65	$295.12