Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $162.18 / $354.81	Facility	26	$48.98	$162.18	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $562.34	Professional		$208.93	$275.42	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $177.83	Professional	26	$51.29	$83.18	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $208.93 / $537.03	Professional	TC	$158.49	$208.93	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $323.59 / $1,258.93	Professional		$70.79	$323.59	$1,258.93
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $69.18 / $87.10	Professional	26	$60.26	$69.18	$87.10
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $251.19 / $354.81	Professional	TC	$218.78	$251.19	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $691.83	Professional		$194.98	$338.84	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $66.07 / $154.88	Professional	26	$46.77	$66.07	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $269.15 / $549.54	Professional	TC	$144.54	$269.15	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $562.34	Professional		$239.88	$288.40	$562.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $120.23	Professional	26	$54.95	$64.57	$120.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $223.87 / $436.52	Professional	TC	$186.21	$223.87	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $851.14	Professional		$208.93	$338.84	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $69.18 / $181.97	Professional	26	$39.81	$69.18	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $263.03 / $660.69	Professional	TC	$158.49	$263.03	$660.69