Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.28 / $142.38 / $289.01	Facility	26	$33.28	$142.38	$289.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $157.35 / $256.50	Professional		$137.84	$157.35	$256.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $164.28 / $327.57	Professional		$125.97	$164.28	$327.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $189.93 / $600.01	Professional		$140.01	$189.93	$600.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $188.91 / $368.91	Professional		$157.19	$188.91	$368.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $40.49 / $77.79	Professional	26	$35.01	$40.49	$77.79
United Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $214.73 / $385.73	Professional		$119.00	$214.73	$385.73