Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $165.96 / $354.81	Facility	26	$48.98	$165.96	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $436.52	Professional		$239.88	$295.12	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $154.88	Professional	26	$42.66	$66.07	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $251.19 / $338.84	Professional	TC	$204.17	$251.19	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $758.58 / $1,174.90	Professional		$63.10	$758.58	$1,174.90
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $57.54 / $77.62	Professional	26	$53.70	$57.54	$77.62
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $302.00 / $398.11	Professional	TC	$275.42	$302.00	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,621.81	Professional		$288.40	$575.44	$1,621.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $83.18 / $245.47	Professional	26	$46.77	$83.18	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $489.78 / $1,380.38	Professional	TC	$239.88	$489.78	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $758.58	Professional		$338.84	$398.11	$758.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $64.57 / $123.03	Professional	26	$56.23	$64.57	$123.03
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $331.13 / $645.65	Professional	TC	$288.40	$331.13	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $1,148.15	Professional		$323.59	$446.68	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $69.18 / $181.97	Professional	26	$45.71	$69.18	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $371.54 / $954.99	Professional	TC	$275.42	$371.54	$954.99