Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.42 / $145.43 / $159.93	Facility	26	$62.42	$145.43	$159.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $151.25 / $268.20	Professional		$142.63	$151.25	$268.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.96 / $62.42 / $88.16	Professional	26	$60.96	$62.42	$88.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $171.60 / $278.30	Professional		$135.11	$171.60	$278.30
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $67.90 / $88.95	Professional	26	$67.90	$67.90	$88.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $206.72 / $634.34	Professional		$149.75	$206.72	$634.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $83.39 / $265.44	Professional	26	$65.17	$83.39	$265.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $182.06 / $361.09	Professional		$164.72	$182.06	$361.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.67 / $74.39 / $147.41	Professional	26	$67.67	$74.39	$147.41
United Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $191.42 / $434.40	Professional		$128.32	$191.42	$434.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.81 / $65.59 / $177.34	Professional	26	$52.81	$65.59	$177.34