Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $52.74 / $52.74	Facility		$52.74	$52.74	$52.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.21 / $53.22 / $306.98	Facility	26	$49.21	$53.22	$306.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $52.74 / $126.56	Professional		$38.42	$52.74	$126.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $49.21 / $118.10	Professional	26	$36.10	$49.21	$118.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $45.37 / $45.37	Professional		$43.30	$45.37	$45.37
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $40.89 / $40.89	Professional	26	$16.68	$40.89	$40.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $5.46 / $11.88	Facility		$4.95	$5.46	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $54.92	Professional		$43.45	$43.45	$54.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $51.51	Professional	26	$40.47	$40.47	$51.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $110.01 / $110.01	Professional		$60.05	$110.01	$110.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.63 / $101.96 / $101.96	Professional	26	$55.63	$101.96	$101.96
United Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Facility		$7.86	$7.86	$7.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $29.06 / $139.31	Professional		$15.31	$29.06	$139.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $24.31 / $129.12	Professional	26	$14.43	$24.31	$129.12