Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.78 / $12.78 / $12.78	Facility	26	$12.78	$12.78	$12.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $48.72 / $68.90	Professional		$45.50	$48.72	$68.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $59.30 / $103.44	Professional		$59.30	$59.30	$103.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $72.06 / $208.27	Professional		$52.66	$72.06	$208.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $60.10 / $118.93	Professional		$54.38	$60.10	$118.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $15.57 / $30.23	Professional	26	$14.14	$15.57	$30.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $54.46 / $150.09	Professional		$42.73	$54.46	$150.09