Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.61 / $20.61 / $20.61	Facility	26	$20.61	$20.61	$20.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $76.61 / $77.65	Professional		$71.59	$76.61	$77.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $20.61 / $23.09	Professional	26	$20.14	$20.61	$23.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $77.01 / $134.00	Professional		$77.01	$77.01	$134.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $22.07 / $28.03	Professional	26	$22.07	$22.07	$28.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $99.31 / $268.17	Professional		$67.63	$99.31	$268.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $29.39 / $84.40	Professional	26	$21.42	$29.39	$84.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $77.08 / $152.76	Professional		$69.73	$77.08	$152.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $23.25 / $46.33	Professional	26	$21.12	$23.25	$46.33
United Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $78.39 / $193.44	Professional		$59.94	$78.39	$193.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $22.54 / $55.73	Professional	26	$17.48	$22.54	$55.73