Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.56 / $163.49 / $482.43	Facility	26	$67.56	$163.49	$482.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $219.29 / $475.00	Professional		$202.83	$219.29	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.16 / $67.56 / $163.49	Professional	26	$65.16	$67.56	$163.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.66 / $151.72 / $335.00	Professional	TC	$137.66	$151.72	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $322.39 / $332.56 / $2,632.52	Professional		$322.39	$332.56	$2,632.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $80.81 / $86.32 / $94.09	Professional	26	$80.81	$86.32	$94.09
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $221.62 / $246.24 / $268.39	Professional	TC	$221.62	$246.24	$268.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $373.28 / $1,034.22	Professional		$256.98	$373.28	$1,034.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.77 / $112.71 / $313.44	Professional	26	$63.77	$112.71	$313.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.06 / $254.88 / $720.78	Professional	TC	$175.06	$254.88	$720.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $529.64 / $529.64	Professional		$236.88	$529.64	$529.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.72 / $165.93 / $165.93	Professional	26	$75.72	$165.93	$165.93
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $161.16 / $363.71 / $363.71	Professional	TC	$161.16	$363.71	$363.71
United Facility/Professional Professional Modifier Low / Median / High Price $241.78 / $379.17 / $1,048.53	Professional		$241.78	$379.17	$1,048.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.80 / $88.11 / $255.62	Professional	26	$50.80	$88.11	$255.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.57 / $498.67 / $650.24	Professional	TC	$169.57	$498.67	$650.24