Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.75 / $147.01 / $164.88	Facility	26	$60.75	$147.01	$164.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $111.73 / $176.64	Professional		$104.90	$111.73	$176.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.02 / $60.75 / $93.19	Professional	26	$60.02	$60.75	$93.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $109.70 / $269.83	Professional		$98.73	$109.70	$269.83
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $54.15 / $60.17 / $99.28	Professional	26	$54.15	$60.17	$99.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $288.08 / $476.22	Professional		$122.42	$288.08	$476.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $157.84 / $276.24	Professional	26	$69.31	$157.84	$276.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $258.68 / $258.68	Professional		$115.65	$258.68	$258.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $65.48 / $144.97 / $144.97	Professional	26	$65.48	$144.97	$144.97
United Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $160.65 / $341.16	Professional		$92.63	$160.65	$341.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.14 / $82.14 / $183.59	Professional	26	$55.14	$82.14	$183.59