Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $229.09 / $245.47	Facility	26	$97.72	$229.09	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $467.74	Professional		$199.53	$239.88	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $630.96	Professional		$123.03	$223.87	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $954.99	Professional		$190.55	$354.81	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $537.03	Professional		$263.03	$302.00	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $125.89 / $229.09	Professional	26	$109.65	$125.89	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $478.63 / $707.95	Professional		$141.25	$478.63	$707.95