Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.14 / $197.65 / $540.32	Facility	26	$68.14	$197.65	$540.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $220.19 / $380.45	Professional		$203.69	$220.19	$380.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $68.14 / $142.61	Professional	26	$65.72	$68.14	$142.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.97 / $152.06 / $314.49	Professional	TC	$137.97	$152.06	$314.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.44 / $344.50 / $1,015.55	Professional		$313.44	$344.50	$1,015.55
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.08 / $75.65 / $98.80	Professional	26	$69.08	$75.65	$98.80
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $216.16 / $268.85 / $293.05	Professional	TC	$216.16	$268.85	$293.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $404.65 / $1,038.50	Professional		$298.66	$404.65	$1,038.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $106.39 / $317.70	Professional	26	$64.31	$106.39	$317.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.63 / $321.77 / $720.78	Professional	TC	$204.63	$321.77	$720.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $533.50 / $533.50	Professional		$239.36	$533.50	$533.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.38 / $167.35 / $167.35	Professional	26	$76.38	$167.35	$167.35
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $162.97 / $366.15 / $366.15	Professional	TC	$162.97	$366.15	$366.15
United Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $343.37 / $809.78	Professional		$195.31	$343.37	$809.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.41 / $87.93 / $254.02	Professional	26	$49.41	$87.93	$254.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.43 / $242.21 / $555.76	Professional	TC	$140.43	$242.21	$555.76