Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.83 / $244.40 / $473.93	Facility	26	$53.83	$244.40	$473.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $197.33 / $300.00	Professional		$182.15	$197.33	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $53.83 / $67.90	Professional	26	$51.94	$53.83	$67.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.21 / $143.50 / $240.00	Professional	TC	$130.21	$143.50	$240.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $339.83 / $1,198.28	Professional		$283.02	$339.83	$1,198.28
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $65.98 / $77.84	Professional	26	$61.05	$65.98	$77.84
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $205.20 / $273.85 / $308.79	Professional	TC	$205.20	$273.85	$308.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.64 / $472.82 / $929.95	Professional		$280.64	$472.82	$929.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.43 / $88.01 / $251.10	Professional	26	$50.43	$88.01	$251.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $397.97 / $678.85	Professional	TC	$199.53	$397.97	$678.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $479.43 / $479.43	Professional		$214.08	$479.43	$479.43
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 $154.19 / $347.59 / $347.59	Professional	TC	$154.19	$347.59	$347.59
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $345.57 / $727.71	Professional		$197.86	$345.57	$727.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.73 / $85.34 / $200.15	Professional	26	$48.73	$85.34	$200.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.83 / $303.63 / $552.33	Professional	TC	$148.83	$303.63	$552.33