Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $131.83 / $331.13	Facility	26	$45.71	$131.83	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $389.05	Professional		$125.89	$165.96	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $165.96	Professional	26	$47.86	$63.10	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $104.71 / $275.42	Professional	TC	$79.43	$104.71	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $186.21 / $1,071.52	Professional		$66.07	$186.21	$1,071.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $56.23 / $61.66	Professional	26	$51.29	$56.23	$61.66
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $123.03 / $371.54	Professional	TC	$109.65	$123.03	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $426.58	Professional		$125.89	$269.15	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $144.54	Professional	26	$43.65	$61.66	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $204.17 / $338.84	Professional	TC	$79.43	$204.17	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $316.23	Professional		$141.25	$165.96	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $58.88 / $112.20	Professional	26	$51.29	$58.88	$112.20
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $107.15 / $204.17	Professional	TC	$89.13	$107.15	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $489.78	Professional		$125.89	$223.87	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $64.57 / $173.78	Professional	26	$37.15	$64.57	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $165.96 / $316.23	Professional	TC	$89.13	$165.96	$316.23