Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.49 / $83.46 / $93.61	Facility	26	$34.49	$83.46	$93.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $82.04 / $201.39	Professional		$75.25	$82.04	$201.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.99 / $34.49 / $52.43	Professional	26	$33.99	$34.49	$52.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $84.43 / $92.03	Professional		$75.98	$84.43	$92.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $34.13 / $37.20	Professional	26	$30.72	$34.13	$37.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $183.80 / $353.93	Professional		$88.33	$183.80	$353.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.11 / $72.15 / $155.38	Professional	26	$39.11	$72.15	$155.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $193.49 / $193.49	Professional		$86.41	$193.49	$193.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.96 / $80.58 / $80.58	Professional	26	$36.96	$80.58	$80.58
United Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $112.46 / $245.03	Professional		$61.26	$112.46	$245.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.99 / $49.59 / $102.04	Professional	26	$30.99	$49.59	$102.04