Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $208.93 / $524.81	Facility	26	$72.44	$208.93	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $478.63	Professional		$223.87	$275.42	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $223.87	Professional	26	$67.61	$89.13	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $186.21 / $331.13	Professional	TC	$144.54	$186.21	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $1,380.38	Professional		$213.80	$323.59	$1,380.38
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $104.71 / $114.82	Professional	26	$95.50	$104.71	$114.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $199.53 / $239.88	Professional	TC	$194.98	$199.53	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $758.58	Professional		$245.47	$338.84	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $97.72 / $229.09	Professional	26	$69.18	$97.72	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $229.09 / $575.44	Professional	TC	$169.82	$229.09	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $549.54	Professional		$245.47	$263.03	$549.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $87.10 / $177.83	Professional	26	$83.18	$87.10	$177.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $177.83 / $380.19	Professional	TC	$162.18	$177.83	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $831.76	Professional		$208.93	$338.84	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $275.42	Professional	26	$58.88	$102.33	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $229.09 / $562.34	Professional	TC	$138.04	$229.09	$562.34