Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $169.82	Facility	26	$19.05	$19.05	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $89.13	Professional		$30.90	$50.12	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $37.15	Professional	26	$18.20	$20.89	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $50.12 / $154.88	Professional		$19.50	$50.12	$154.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $21.88 / $21.88	Professional	26	$20.89	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $218.78	Professional		$45.71	$85.11	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.02 / $87.10	Professional	26	$21.88	$38.02	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $120.23	Professional		$48.98	$58.88	$120.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $22.39 / $45.71	Professional	26	$19.50	$22.39	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $125.89	Professional		$32.36	$46.77	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $27.54 / $57.54	Professional	26	$18.20	$27.54	$57.54