Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.08 / $221.39 / $433.88	Facility	26	$59.08	$221.39	$433.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $118.33 / $216.53	Professional		$111.52	$118.33	$216.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.01 / $59.08 / $113.76	Professional	26	$50.01	$59.08	$113.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.77 / $59.24 / $163.68	Professional	TC	$53.77	$59.24	$163.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $154.94 / $1,191.60	Professional		$152.94	$154.94	$1,191.60
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $59.64 / $61.50 / $67.26	Professional	26	$59.64	$61.50	$67.26
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $84.10 / $93.44 / $154.18	Professional	TC	$84.10	$93.44	$154.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $352.29 / $635.83	Professional		$110.81	$352.29	$635.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.24 / $84.17 / $255.01	Professional	26	$55.24	$84.17	$255.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.28 / $175.67 / $572.54	Professional	TC	$54.28	$175.67	$572.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $152.37 / $292.18	Professional		$131.59	$152.37	$292.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.13 / $77.73 / $147.00	Professional	26	$67.13	$77.73	$147.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $64.45 / $74.64 / $145.16	Professional	TC	$64.45	$74.64	$145.16
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $197.02 / $370.23	Professional		$141.47	$197.02	$370.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.92 / $76.41 / $186.27	Professional	26	$44.92	$76.41	$186.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.04 / $136.13 / $239.35	Professional	TC	$68.04	$136.13	$239.35