Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $43.65 / $48.95	Facility	26	$18.04	$43.65	$48.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $78.17 / $189.17	Professional		$56.50	$78.17	$189.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $18.07 / $43.65	Professional	26	$18.04	$18.07	$43.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $83.22 / $90.71	Professional		$25.68	$83.22	$90.71
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $20.94 / $22.82	Professional	26	$17.91	$20.94	$22.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $156.35 / $246.80	Professional		$45.40	$156.35	$246.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $37.58 / $54.51	Professional	26	$17.10	$37.58	$54.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $180.50 / $180.50	Professional		$79.04	$180.50	$180.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $42.59 / $42.59	Professional	26	$19.32	$42.59	$42.59
United Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $105.20 / $228.58	Professional		$42.04	$105.20	$228.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $23.07 / $53.93	Professional	26	$14.67	$23.07	$53.93