Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.58 / $58.64 / $146.10	Facility	26	$20.58	$58.64	$146.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $217.07 / $525.29	Professional		$198.22	$217.07	$525.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $20.58 / $49.80	Professional	26	$19.85	$20.58	$49.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.37 / $196.50 / $475.52	Professional	TC	$178.37	$196.50	$475.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $293.67 / $819.30	Professional		$269.42	$293.67	$819.30
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $25.94 / $25.94 / $28.27	Professional	26	$25.94	$25.94	$28.27
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $243.48 / $243.48 / $265.39	Professional	TC	$243.48	$243.48	$265.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $388.72 / $1,114.77	Professional		$195.94	$388.72	$1,114.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.52 / $35.00 / $103.03	Professional	26	$19.52	$35.00	$103.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.41 / $353.72 / $1,011.73	Professional	TC	$176.41	$353.72	$1,011.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.67 / $522.02 / $522.02	Professional		$232.67	$522.02	$522.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $50.25 / $50.25	Professional	26	$23.19	$50.25	$50.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $209.49 / $471.77 / $471.77	Professional	TC	$209.49	$471.77	$471.77
United Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $270.38 / $780.88	Professional		$216.30	$270.38	$780.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $55.63 / $75.17	Professional	26	$19.23	$55.63	$75.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.58 / $244.21 / $705.71	Professional	TC	$197.58	$244.21	$705.71