Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.50 / $276.93 / $540.32	Facility	26	$53.50	$276.93	$540.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $210.50 / $490.46	Professional		$194.09	$210.50	$490.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $53.50 / $124.65	Professional	26	$51.64	$53.50	$124.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.44 / $157.00 / $365.81	Professional	TC	$142.44	$157.00	$365.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $322.69 / $1,016.64	Professional		$302.08	$322.69	$1,016.64
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.47 / $75.23 / $82.01	Professional	26	$69.47	$75.23	$82.01
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $222.71 / $247.45 / $308.91	Professional	TC	$222.71	$247.45	$308.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $439.07 / $998.21	Professional		$299.14	$439.07	$998.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.43 / $92.17 / $249.47	Professional	26	$50.43	$92.17	$249.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.03 / $338.01 / $748.74	Professional	TC	$218.03	$338.01	$748.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.73 / $511.71 / $511.71	Professional		$228.73	$511.71	$511.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.89 / $131.86 / $131.86	Professional	26	$59.89	$131.86	$131.86
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $168.84 / $379.85 / $379.85	Professional	TC	$168.84	$379.85	$379.85
United Facility/Professional Professional Modifier Low / Median / High Price $196.88 / $339.92 / $776.71	Professional		$196.88	$339.92	$776.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.58 / $63.79 / $200.15	Professional	26	$52.58	$63.79	$200.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.64 / $315.27 / $576.55	Professional	TC	$182.64	$315.27	$576.55