Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $177.83 / $436.52	Facility	26	$61.66	$177.83	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $331.13	Professional		$128.82	$162.18	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $186.21	Professional	26	$52.48	$77.62	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $85.11 / $234.42	Professional	TC	$64.57	$85.11	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $758.58	Professional		$74.13	$162.18	$758.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $102.33	Professional	26	$54.95	$85.11	$102.33
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $85.11 / $288.40	Professional	TC	$66.07	$85.11	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $407.38	Professional		$112.20	$199.53	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $158.49	Professional	26	$50.12	$67.61	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $104.71 / $309.03	Professional	TC	$56.23	$104.71	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $323.59	Professional		$128.82	$138.04	$323.59
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 $60.26 / $66.07 / $169.82	Professional	TC	$60.26	$66.07	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $489.78	Professional		$125.89	$177.83	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $74.13 / $229.09	Professional	26	$43.65	$74.13	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $104.71 / $257.04	Professional	TC	$66.07	$104.71	$257.04