Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $380.08 / $380.08 / $380.08	Facility	26	$380.08	$380.08	$380.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.98 / $1,383.98 / $1,383.98	Professional		$1,383.98	$1,383.98	$1,383.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,570.46 / $1,672.91 / $11,017.27	Professional		$1,570.46	$1,672.91	$11,017.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.78 / $1,986.94 / $6,138.63	Professional		$1,367.78	$1,986.94	$6,138.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,192.27 / $3,192.27 / $3,192.27	Professional		$3,192.27	$3,192.27	$3,192.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $896.16 / $896.16 / $896.16	Professional	26	$896.16	$896.16	$896.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,408.77 / $2,023.49 / $3,222.62	Professional		$1,408.77	$2,023.49	$3,222.62