Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.51 / $264.68 / $953.11	Facility	26	$97.51	$264.68	$953.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.74 / $176.71 / $317.79	Facility	53	$46.74	$176.71	$317.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.68 / $273.08 / $384.37	Professional		$233.68	$273.08	$384.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.14 / $99.23 / $222.04	Professional	26	$95.14	$99.23	$222.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $291.93 / $740.09	Professional		$269.70	$291.93	$740.09
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $111.83 / $119.94 / $132.81	Professional	26	$111.83	$119.94	$132.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $372.94 / $891.08	Professional		$257.67	$372.94	$891.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $154.41 / $371.84	Professional	26	$102.63	$154.41	$371.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.47 / $284.48 / $548.24	Professional		$239.47	$284.48	$548.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $105.00 / $121.22 / $229.70	Professional	26	$105.00	$121.22	$229.70
United Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $328.48 / $693.55	Professional		$216.12	$328.48	$693.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.29 / $136.13 / $238.62	Professional	26	$91.29	$136.13	$238.62