Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.21 / $132.72 / $261.23	Facility	26	$34.21	$132.72	$261.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $262.62 / $336.15	Professional		$191.65	$262.62	$336.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $34.21 / $74.31	Professional	26	$32.20	$34.21	$74.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.46 / $228.41 / $292.36	Professional	TC	$159.46	$228.41	$292.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $271.57 / $699.78	Professional		$271.57	$271.57	$699.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $72.47	Professional	26	$37.15	$37.15	$72.47
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $311.77	Professional	TC	$234.42	$234.42	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $284.58 / $1,302.31	Professional		$176.62	$284.58	$1,302.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.39 / $53.50 / $167.16	Professional	26	$32.39	$53.50	$167.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.91 / $231.08 / $1,135.15	Professional	TC	$142.91	$231.08	$1,135.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.56 / $645.24 / $645.24	Professional		$291.56	$645.24	$645.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.47 / $83.89 / $83.89	Professional	26	$38.47	$83.89	$83.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $253.09 / $561.35 / $561.35	Professional	TC	$253.09	$561.35	$561.35
United Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $409.98 / $914.79	Professional		$153.08	$409.98	$914.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $81.99 / $118.93	Professional	26	$26.98	$81.99	$118.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.10 / $708.31 / $795.86	Professional	TC	$131.10	$708.31	$795.86