Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $234.42 / $363.08	Facility	26	$51.29	$234.42	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $467.74	Professional		$186.21	$245.47	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $154.88	Professional	26	$51.29	$61.66	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $190.55 / $407.38	Professional	TC	$138.04	$190.55	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $1,380.38	Professional		$204.17	$281.84	$1,380.38
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $67.61 / $74.13	Professional	26	$58.88	$67.61	$74.13
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $199.53 / $295.12	Professional	TC	$181.97	$199.53	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $794.33	Professional		$234.42	$389.05	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $162.18	Professional	26	$47.86	$69.18	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $309.03 / $676.08	Professional	TC	$186.21	$309.03	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $575.44	Professional		$208.93	$223.87	$575.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $60.26 / $125.89	Professional	26	$57.54	$60.26	$125.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $162.18 / $457.09	Professional	TC	$147.91	$162.18	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $724.44	Professional		$199.53	$354.81	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $190.55	Professional	26	$41.69	$72.44	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $302.00 / $524.81	Professional	TC	$151.36	$302.00	$524.81