Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $275.42 / $446.68	Facility	26	$117.49	$275.42	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $870.96	Professional		$213.80	$398.11	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $138.04 / $234.42	Professional	26	$69.18	$138.04	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $281.84 / $549.54	Professional	TC	$131.83	$281.84	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $389.05 / $2,041.74	Professional		$93.33	$389.05	$2,041.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $125.89	Professional	26	$75.86	$85.11	$125.89
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $194.98 / $389.05	Professional	TC	$177.83	$194.98	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $912.01	Professional		$263.03	$501.19	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $194.98	Professional	26	$58.88	$83.18	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $389.05 / $741.31	Professional	TC	$199.53	$389.05	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $512.86	Professional		$204.17	$223.87	$512.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $72.44 / $151.36	Professional	26	$69.18	$72.44	$151.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $151.36 / $363.08	Professional	TC	$138.04	$151.36	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $831.76	Professional		$213.80	$407.38	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $87.10 / $234.42	Professional	26	$50.12	$87.10	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $302.00 / $645.65	Professional	TC	$151.36	$302.00	$645.65