Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.18 / $121.57 / $132.44	Facility	26	$52.18	$121.57	$132.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.23 / $351.81 / $819.71	Professional		$318.23	$351.81	$819.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $52.18 / $124.35	Professional	26	$50.96	$52.18	$124.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $384.19 / $426.88 / $627.82	Professional		$384.19	$426.88	$627.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $48.34 / $53.71 / $58.54	Professional	26	$48.34	$53.71	$58.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.33 / $909.05 / $1,523.62	Professional		$324.33	$909.05	$1,523.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.44 / $135.41 / $235.95	Professional	26	$59.44	$135.41	$235.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.14 / $838.47 / $838.47	Professional		$377.14	$838.47	$838.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.30 / $124.75 / $124.75	Professional	26	$56.30	$124.75	$124.75
United Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $440.01 / $1,061.79	Professional		$181.10	$440.01	$1,061.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.49 / $75.34 / $157.97	Professional	26	$43.49	$75.34	$157.97