Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $204.17 / $489.78	Facility	26	$67.61	$204.17	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $537.03	Professional		$218.78	$281.84	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $194.98	Professional	26	$61.66	$83.18	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $190.55 / $436.52	Professional	TC	$144.54	$190.55	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,348.96	Professional		$194.98	$309.03	$1,348.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $89.13 / $97.72	Professional	26	$75.86	$89.13	$97.72
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $213.80 / $269.15	Professional	TC	$190.55	$213.80	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $794.33	Professional		$239.88	$380.19	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $213.80	Professional	26	$60.26	$83.18	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $295.12 / $630.96	Professional	TC	$177.83	$295.12	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $537.03	Professional		$234.42	$275.42	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $89.13 / $165.96	Professional	26	$75.86	$89.13	$165.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $190.55 / $363.08	Professional	TC	$158.49	$190.55	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $812.83	Professional		$213.80	$354.81	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $97.72 / $251.19	Professional	26	$48.98	$97.72	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $281.84 / $549.54	Professional	TC	$141.25	$281.84	$549.54