Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $302.56 / $831.94	Facility	26	$125.00	$302.56	$831.94
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 $108.67 / $115.60 / $126.11	Professional	26	$108.67	$115.60	$126.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.10 / $171.77 / $491.47	Professional	26	$85.10	$171.77	$491.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $101.05 / $220.89 / $220.89	Professional	26	$101.05	$220.89	$220.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.36 / $114.15 / $329.13	Professional	26	$78.36	$114.15	$329.13