Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.84 / $230.39 / $584.55	Facility	26	$80.84	$230.39	$584.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $151.61 / $272.08	Professional		$142.94	$151.61	$272.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.42 / $78.68 / $80.84	Professional	26	$60.42	$78.68	$80.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.27 / $70.77 / $211.66	Professional	TC	$64.27	$70.77	$211.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $193.39 / $1,404.24	Professional		$193.39	$193.39	$1,404.24
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $100.07 / $109.08	Professional	26	$68.56	$100.07	$109.08
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $83.99 / $93.32 / $164.81	Professional	TC	$83.99	$93.32	$164.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $389.77 / $767.86	Professional		$143.19	$389.77	$767.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.56 / $97.84 / $347.57	Professional	26	$63.56	$97.84	$347.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.00 / $210.70 / $572.54	Professional	TC	$66.00	$210.70	$572.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.04 / $196.89 / $375.24	Professional		$170.04	$196.89	$375.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.68 / $106.15 / $201.05	Professional	26	$91.68	$106.15	$201.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $78.38 / $90.75 / $174.18	Professional	TC	$78.38	$90.75	$174.18
United Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $247.06 / $510.24	Professional		$164.70	$247.06	$510.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.83 / $107.57 / $254.76	Professional	26	$51.83	$107.57	$254.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.64 / $188.51 / $363.92	Professional	TC	$78.64	$188.51	$363.92