Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $977.24	Facility	26	$134.90	$134.90	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $524.81	Professional		$208.93	$281.84	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $229.09 / $524.81	Professional	26	$112.20	$229.09	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $131.83 / $251.19	Professional	TC	$97.72	$131.83	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $537.03 / $776.25	Professional		$229.09	$537.03	$776.25
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $162.18 / $218.78	Professional	26	$151.36	$162.18	$218.78
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $154.88 / $223.87	Professional	TC	$147.91	$154.88	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $1,318.26	Professional		$239.88	$295.12	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $158.49 / $660.69	Professional	26	$123.03	$158.49	$660.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $138.04 / $645.65	Professional	TC	$114.82	$138.04	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $676.08	Professional		$316.23	$363.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $186.21 / $338.84	Professional	26	$158.49	$186.21	$338.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $181.97 / $331.13	Professional	TC	$154.88	$181.97	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $954.99	Professional		$234.42	$354.81	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $186.21 / $478.63	Professional	26	$117.49	$186.21	$478.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $169.82 / $467.74	Professional	TC	$114.82	$169.82	$467.74