Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.72 / $136.72 / $984.72	Facility	26	$136.72	$136.72	$984.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.77 / $268.70 / $269.86	Professional		$250.77	$268.70	$269.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.88 / $136.72 / $389.65	Professional	26	$130.88	$136.72	$389.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.89 / $131.99 / $132.43	Professional	TC	$119.89	$131.99	$132.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.26 / $323.26 / $686.08	Professional		$323.26	$323.26	$686.08
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $160.66 / $161.44 / $214.73	Professional	26	$160.66	$161.44	$214.73
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $161.81 / $161.81 / $222.45	Professional	TC	$161.81	$161.81	$222.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.97 / $442.63 / $1,309.06	Professional		$259.97	$442.63	$1,309.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.30 / $223.82 / $665.82	Professional	26	$132.30	$223.82	$665.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.68 / $218.81 / $643.24	Professional	TC	$127.68	$218.81	$643.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.70 / $668.49 / $668.49	Professional		$308.70	$668.49	$668.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $157.10 / $338.69 / $338.69	Professional	26	$157.10	$338.69	$338.69
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $151.62 / $329.81 / $329.81	Professional	TC	$151.62	$329.81	$329.81
United Facility/Professional Professional Modifier Low / Median / High Price $231.76 / $254.42 / $947.76	Professional		$231.76	$254.42	$947.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.28 / $209.22 / $480.18	Professional	26	$116.28	$209.22	$480.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.77 / $334.56 / $467.58	Professional	TC	$117.77	$334.56	$467.58