Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.83 / $138.83 / $138.83	Facility	26	$138.83	$138.83	$138.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $190.33 / $217.14	Professional		$171.43	$190.33	$217.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.38 / $222.64 / $324.14	Professional		$200.38	$222.64	$324.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $504.32 / $779.80	Professional		$165.25	$504.32	$779.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $427.54 / $427.54	Professional		$188.65	$427.54	$427.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $147.27 / $325.13 / $325.13	Professional	26	$147.27	$325.13	$325.13
United Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $262.24 / $549.41	Professional		$121.10	$262.24	$549.41