Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $307.20 / $307.20 / $307.20	Facility	26	$307.20	$307.20	$307.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.03 / $1,130.03 / $1,130.03	Professional		$1,130.03	$1,130.03	$1,130.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $307.20 / $307.20 / $307.20	Professional	26	$307.20	$307.20	$307.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,283.42 / $1,350.53 / $9,580.76	Professional		$1,283.42	$1,350.53	$9,580.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $356.57 / $370.86 / $404.24	Professional	26	$356.57	$370.86	$404.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,618.95 / $5,012.43	Professional		$1,117.41	$1,618.95	$5,012.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $336.96 / $455.53 / $1,325.48	Professional	26	$336.96	$455.53	$1,325.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,608.81 / $2,608.81 / $2,608.81	Professional		$2,608.81	$2,608.81	$2,608.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $724.80 / $724.80 / $724.80	Professional	26	$724.80	$724.80	$724.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.29 / $1,648.34 / $2,898.72	Professional		$1,137.29	$1,648.34	$2,898.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $312.31 / $651.20 / $837.14	Professional	26	$312.31	$651.20	$837.14