Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,445.44	Professional		$831.76	$1,023.29	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $17,378.01	Professional		$1,047.13	$6,918.31	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $4,570.88	Professional		$1,096.48	$1,412.54	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Professional		$2,137.96	$2,137.96	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $575.44 / $575.44 / $602.56	Professional	26	$575.44	$575.44	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,570.40	Professional		$1,023.29	$1,445.44	$2,570.40