Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.04 / $39.04 / $355.35	Facility	26	$39.04	$39.04	$355.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $75.34 / $128.26	Professional		$65.20	$75.34	$128.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $39.04 / $63.14	Professional	26	$39.04	$39.04	$63.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $80.06 / $129.69	Professional		$72.06	$80.06	$129.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $43.78 / $43.78 / $54.73	Professional	26	$43.78	$43.78	$54.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $130.43 / $324.17	Professional		$75.06	$130.43	$324.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.30 / $75.40 / $174.09	Professional	26	$43.30	$75.40	$174.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $83.40 / $174.45	Professional		$70.40	$83.40	$174.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.94 / $43.30 / $89.78	Professional	26	$37.94	$43.30	$89.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $99.96 / $200.74	Professional		$58.38	$99.96	$200.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $57.27 / $102.55	Professional	26	$34.29	$57.27	$102.55