Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $141.25 / $354.81	Facility	26	$48.98	$141.25	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $338.84	Professional		$107.15	$181.97	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $190.55	Professional	26	$52.48	$83.18	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $407.38	Professional	TC	$112.20	$173.78	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $234.42 / $1,122.02	Professional		$64.57	$234.42	$1,122.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $60.26 / $77.62	Professional	26	$50.12	$60.26	$77.62
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $165.96 / $218.78	Professional	TC	$147.91	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $645.65	Professional		$194.98	$309.03	$645.65
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 / $239.88 / $512.86	Professional	TC	$144.54	$239.88	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $467.74	Professional		$177.83	$190.55	$467.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $57.54 / $120.23	Professional	26	$54.95	$57.54	$120.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $131.83 / $354.81	Professional	TC	$120.23	$131.83	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $616.60	Professional		$165.96	$281.84	$616.60
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 $117.49 / $223.87 / $426.58	Professional	TC	$117.49	$223.87	$426.58