Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $190.55 / $407.38	Facility	26	$56.23	$190.55	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $549.54	Professional		$229.09	$281.84	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $87.10 / $223.87	Professional	26	$48.98	$87.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $234.42 / $436.52	Professional	TC	$186.21	$234.42	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $933.25 / $1,288.25	Professional		$309.03	$933.25	$1,288.25
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $89.13	Professional	26	$61.66	$72.44	$89.13
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $575.44	Professional	TC	$257.04	$371.54	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $1,584.89	Professional		$275.42	$501.19	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $97.72 / $281.84	Professional	26	$53.70	$97.72	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $407.38 / $1,288.25	Professional	TC	$223.87	$407.38	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $741.31	Professional		$346.74	$398.11	$741.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $141.25	Professional	26	$64.57	$75.86	$141.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $323.59 / $602.56	Professional	TC	$275.42	$323.59	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $1,122.02	Professional		$309.03	$416.87	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $79.43 / $208.93	Professional	26	$57.54	$79.43	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $912.01	Professional	TC	$234.42	$338.84	$912.01