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 $208.93 / $380.19 / $870.96	Professional		$208.93	$380.19	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $141.25 / $245.47	Professional	26	$66.07	$141.25	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $281.84 / $478.63	Professional	TC	$125.89	$281.84	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $2,187.76	Professional		$165.96	$346.74	$2,187.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $87.10 / $104.71	Professional	26	$75.86	$87.10	$104.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $204.17 / $389.05	Professional	TC	$181.97	$204.17	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $501.19 / $933.25	Professional		$190.55	$501.19	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $199.53	Professional	26	$60.26	$87.10	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $338.84 / $724.44	Professional	TC	$134.90	$338.84	$724.44
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 / $316.23 / $467.74	Professional	TC	$141.25	$316.23	$467.74