Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $281.84	Professional		$120.23	$138.04	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.91 / $38.02	Professional	26	$20.89	$22.91	$38.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $389.05	Professional		$141.25	$165.96	$389.05
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $23.99 / $23.99	Professional	26	$21.38	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $371.54	Professional		$138.04	$181.97	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $29.51 / $56.23	Professional	26	$21.38	$29.51	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $346.74	Professional		$158.49	$173.78	$346.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $25.12 / $51.29	Professional	26	$23.99	$25.12	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $436.52	Professional		$134.90	$186.21	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $64.57	Professional	26	$20.89	$27.54	$64.57