Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.03 / $159.15 / $433.94	Facility	26	$49.03	$159.15	$433.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.15 / $224.13 / $299.31	Professional		$206.15	$224.13	$299.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.30 / $49.03 / $114.54	Professional	26	$47.30	$49.03	$114.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.85 / $175.10 / $246.13	Professional	TC	$158.85	$175.10	$246.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $266.92 / $329.35 / $950.23	Professional		$266.92	$329.35	$950.23
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $60.83 / $66.30 / $94.18	Professional	26	$60.83	$66.30	$94.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $206.09 / $224.64 / $340.05	Professional	TC	$206.09	$224.64	$340.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $380.19 / $1,103.01	Professional		$258.22	$380.19	$1,103.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $80.68 / $226.99	Professional	26	$46.19	$80.68	$226.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.74 / $311.41 / $876.02	Professional	TC	$195.74	$311.41	$876.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.87 / $557.89 / $557.89	Professional		$247.87	$557.89	$557.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.85 / $120.78 / $120.78	Professional	26	$54.85	$120.78	$120.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $193.02 / $437.11 / $437.11	Professional	TC	$193.02	$437.11	$437.11
United Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $270.33 / $846.81	Professional		$208.90	$270.33	$846.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.82 / $78.20 / $183.34	Professional	26	$44.82	$78.20	$183.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.16 / $227.84 / $663.47	Professional	TC	$144.16	$227.84	$663.47