Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.46 / $531.09 / $595.66	Facility	26	$219.46	$531.09	$595.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.84 / $916.84 / $2,488.55	Professional		$916.84	$916.84	$2,488.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $219.46 / $250.91 / $595.66	Professional	26	$219.46	$250.91	$595.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,039.88 / $1,062.06 / $4,147.01	Professional		$1,039.88	$1,062.06	$4,147.01
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $255.07 / $264.91 / $288.75	Professional	26	$255.07	$264.91	$288.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.15 / $1,221.97 / $4,078.96	Professional		$901.15	$1,221.97	$4,078.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $241.00 / $331.30 / $950.43	Professional	26	$241.00	$331.30	$950.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,113.76 / $2,113.76 / $2,113.76	Professional		$2,113.76	$2,113.76	$2,113.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $518.48 / $518.48 / $518.48	Professional	26	$518.48	$518.48	$518.48
United Facility/Professional Professional Modifier Low / Median / High Price $894.37 / $1,461.04 / $2,190.29	Professional		$894.37	$1,461.04	$2,190.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $223.08 / $329.42 / $609.20	Professional	26	$223.08	$329.42	$609.20