Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.97 / $21.97 / $21.97	Facility	26	$21.97	$21.97	$21.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $131.18 / $137.59	Professional		$131.18	$131.18	$137.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $21.97 / $23.05	Professional	26	$21.97	$21.97	$23.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $151.72 / $267.87	Professional		$151.72	$151.72	$267.87
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.67 / $22.67 / $25.08	Professional	26	$22.67	$22.67	$25.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $196.40 / $467.09	Professional		$145.09	$196.40	$467.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.03 / $30.30 / $67.63	Professional	26	$22.03	$30.30	$67.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $181.17 / $347.73	Professional		$150.72	$181.17	$347.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $26.39 / $50.98	Professional	26	$23.22	$26.39	$50.98
United Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $254.15 / $440.35	Professional		$129.05	$254.15	$440.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $30.15 / $64.56	Professional	26	$20.00	$30.15	$64.56