Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.81 / $135.94 / $433.94	Facility	26	$41.81	$135.94	$433.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $128.04 / $247.93	Professional		$118.52	$128.04	$247.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $46.51 / $101.18	Professional	26	$40.29	$46.51	$101.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $86.23 / $201.03	Professional	TC	$78.23	$86.23	$201.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.54 / $226.58 / $842.51	Professional		$184.54	$226.58	$842.51
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $51.90 / $56.57 / $85.63	Professional	26	$51.90	$56.57	$85.63
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $123.31 / $174.68 / $288.22	Professional	TC	$123.31	$174.68	$288.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $332.85 / $601.91	Professional		$183.66	$332.85	$601.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.67 / $69.51 / $196.48	Professional	26	$39.67	$69.51	$196.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.89 / $253.39 / $408.02	Professional	TC	$119.89	$253.39	$408.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $312.58 / $312.58	Professional		$140.50	$312.58	$312.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.10 / $103.71 / $103.71	Professional	26	$47.10	$103.71	$103.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $93.39 / $208.88 / $208.88	Professional	TC	$93.39	$208.88	$208.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $214.17 / $474.47	Professional		$123.77	$214.17	$474.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $56.47 / $157.41	Professional	26	$39.72	$56.47	$157.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.52 / $158.44 / $354.13	Professional	TC	$95.52	$158.44	$354.13