Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $158.49 / $338.84	Facility	26	$46.77	$158.49	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $416.87	Professional		$141.25	$186.21	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $66.07 / $186.21	Professional	26	$45.71	$66.07	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $120.23 / $281.84	Professional	TC	$89.13	$120.23	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $1,071.52	Professional		$141.25	$208.93	$1,071.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $64.57 / $93.33	Professional	26	$58.88	$64.57	$93.33
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $131.83 / $354.81	Professional	TC	$125.89	$131.83	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $524.81	Professional		$138.04	$275.42	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $64.57 / $151.36	Professional	26	$45.71	$64.57	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $204.17 / $407.38	Professional	TC	$91.20	$204.17	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $354.81	Professional		$158.49	$186.21	$354.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $61.66 / $117.49	Professional	26	$53.70	$61.66	$117.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $125.89 / $239.88	Professional	TC	$104.71	$125.89	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $537.03	Professional		$141.25	$234.42	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $67.61 / $177.83	Professional	26	$38.90	$67.61	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $186.21 / $363.08	Professional	TC	$97.72	$186.21	$363.08