Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $389.85 / $757.92	Facility	26	$125.00	$389.85	$757.92
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 $98.07 / $105.25 / $114.96	Professional	26	$98.07	$105.25	$114.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.25 / $156.57 / $430.91	Professional	26	$76.25	$156.57	$430.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.54 / $199.35 / $199.35	Professional	26	$90.54	$199.35	$199.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.58 / $230.81 / $297.02	Professional	26	$71.58	$230.81	$297.02