Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.85 / $46.85 / $46.85	Facility	26	$46.85	$46.85	$46.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $111.47 / $124.47	Professional		$90.20	$111.47	$124.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $119.22 / $196.71	Professional		$107.30	$119.22	$196.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $295.37 / $479.10	Professional		$103.65	$295.37	$479.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $262.95 / $262.95	Professional		$117.22	$262.95	$262.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.57 / $111.35 / $111.35	Professional	26	$50.57	$111.35	$111.35
United Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $169.60 / $341.23	Professional		$72.88	$169.60	$341.23