Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.22 / $162.99 / $444.60	Facility	26	$50.22	$162.99	$444.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $134.47 / $257.49	Professional		$124.88	$134.47	$257.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $50.22 / $117.43	Professional	26	$48.44	$50.22	$117.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.44 / $84.26 / $196.32	Professional	TC	$76.44	$84.26	$196.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $208.21 / $817.84	Professional		$193.50	$208.21	$817.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $62.31 / $67.92 / $102.81	Professional	26	$62.31	$67.92	$102.81
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $120.46 / $145.90 / $240.73	Professional	TC	$120.46	$145.90	$240.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $322.80 / $633.42	Professional		$168.55	$322.80	$633.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.32 / $82.63 / $235.77	Professional	26	$47.32	$82.63	$235.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.57 / $243.43 / $397.67	Professional	TC	$104.57	$243.43	$397.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $170.25 / $327.77	Professional		$142.91	$170.25	$327.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.19 / $65.06 / $123.73	Professional	26	$56.19	$65.06	$123.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $86.55 / $105.17 / $204.04	Professional	TC	$86.55	$105.17	$204.04
United Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $213.40 / $497.51	Professional		$119.48	$213.40	$497.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.72 / $64.27 / $187.81	Professional	26	$40.72	$64.27	$187.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.50 / $173.77 / $309.70	Professional	TC	$88.50	$173.77	$309.70