Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $275.42 / $446.68	Facility	26	$117.49	$275.42	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $398.11 / $870.96	Professional		$194.98	$398.11	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $141.25 / $245.47	Professional	26	$67.61	$141.25	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $257.04 / $478.63	Professional	TC	$109.65	$257.04	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $309.03 / $2,041.74	Professional		$104.71	$309.03	$2,041.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $154.88	Professional	26	$75.86	$95.50	$154.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $186.21 / $707.95	Professional	TC	$165.96	$186.21	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $478.63 / $891.25	Professional		$190.55	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $199.53	Professional	26	$60.26	$89.13	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $338.84 / $707.95	Professional	TC	$134.90	$338.84	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $457.09	Professional		$204.17	$239.88	$457.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $81.28 / $154.88	Professional	26	$70.79	$81.28	$154.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $158.49 / $309.03	Professional	TC	$131.83	$158.49	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $707.95	Professional		$208.93	$389.05	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $239.88	Professional	26	$54.95	$89.13	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $295.12 / $467.74	Professional	TC	$141.25	$295.12	$467.74