Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $54.95 / $309.03	Facility	26	$48.98	$54.95	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.02 / $58.88	Professional		$15.85	$38.02	$58.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $45.71 / $97.72	Professional	26	$25.70	$45.71	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $51.29	Professional		$38.02	$41.69	$51.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $34.67 / $38.90	Professional	26	$16.60	$34.67	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.50 / $12.59	Facility		$4.90	$5.50	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $109.65	Professional		$35.48	$58.88	$109.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $54.95 / $102.33	Professional	26	$35.48	$54.95	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $102.33	Professional		$14.79	$23.44	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.44 / $95.50	Professional	26	$14.79	$23.44	$95.50