Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $255.90 / $255.90 / $255.90	Facility	26	$255.90	$255.90	$255.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.31 / $1,020.31 / $2,769.42	Professional		$1,020.31	$1,020.31	$2,769.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,157.41 / $1,206.08 / $9,189.32	Professional		$1,157.41	$1,206.08	$9,189.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.14 / $1,422.67 / $4,529.39	Professional		$1,006.14	$1,422.67	$4,529.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,352.67 / $2,352.67 / $2,352.67	Professional		$2,352.67	$2,352.67	$2,352.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $604.16 / $604.16 / $604.16	Professional	26	$604.16	$604.16	$604.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.66 / $1,450.27 / $2,550.25	Professional		$1,015.66	$1,450.27	$2,550.25