Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $134.90 / $338.84	Facility	26	$46.77	$134.90	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $549.54	Professional		$181.97	$269.15	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $229.09	Professional	26	$50.12	$72.44	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $190.55 / $407.38	Professional	TC	$125.89	$190.55	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $257.04 / $1,122.02	Professional		$93.33	$257.04	$1,122.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $67.61 / $75.86	Professional	26	$58.88	$67.61	$75.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $190.55 / $275.42	Professional	TC	$169.82	$190.55	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $794.33	Professional		$234.42	$331.13	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $151.36	Professional	26	$45.71	$75.86	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $263.03 / $630.96	Professional	TC	$177.83	$263.03	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $575.44	Professional		$190.55	$229.09	$575.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $61.66 / $134.90	Professional	26	$53.70	$61.66	$134.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $165.96 / $436.52	Professional	TC	$138.04	$165.96	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $660.69	Professional		$194.98	$323.59	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $177.83	Professional	26	$46.77	$67.61	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $275.42 / $489.78	Professional	TC	$144.54	$275.42	$489.78