Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.84 / $93.59 / $234.45	Facility	26	$32.84	$93.59	$234.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.22 / $300.08 / $726.21	Professional		$274.22	$300.08	$726.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $32.84 / $77.17	Professional	26	$31.70	$32.84	$77.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.52 / $267.26 / $646.76	Professional	TC	$242.52	$267.26	$646.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.43 / $352.54 / $847.48	Professional		$323.43	$352.54	$847.48
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $40.70 / $44.36	Professional	26	$40.70	$40.70	$44.36
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $282.73 / $282.73 / $308.18	Professional	TC	$282.73	$282.73	$308.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $335.05 / $1,543.49	Professional		$271.08	$335.05	$1,543.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.15 / $59.87 / $164.49	Professional	26	$31.15	$59.87	$164.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.95 / $275.18 / $1,379.00	Professional	TC	$239.95	$275.18	$1,379.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.93 / $723.36 / $723.36	Professional		$321.93	$723.36	$723.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $80.64 / $80.64	Professional	26	$36.97	$80.64	$80.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $284.93 / $642.72 / $642.72	Professional	TC	$284.93	$642.72	$642.72
United Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $717.77 / $1,082.07	Professional		$225.16	$717.77	$1,082.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $41.73 / $120.63	Professional	26	$29.59	$41.73	$120.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.84 / $630.86 / $961.44	Professional	TC	$194.84	$630.86	$961.44