Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $186.21 / $269.15	Facility	26	$37.15	$186.21	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $933.25	Professional		$151.36	$186.21	$933.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $154.88 / $776.25	Professional	TC	$123.03	$154.88	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $707.95 / $1,096.48	Professional		$48.98	$707.95	$1,096.48
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $181.97 / $223.87	Professional	TC	$173.78	$181.97	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $1,023.29	Professional		$186.21	$416.87	$1,023.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $346.74 / $831.76	Professional	TC	$147.91	$346.74	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $489.78	Professional		$223.87	$257.04	$489.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $51.29 / $93.33	Professional	26	$43.65	$51.29	$93.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $208.93 / $398.11	Professional	TC	$181.97	$208.93	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $724.44	Professional		$213.80	$281.84	$724.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $588.84	Professional	TC	$173.78	$223.87	$588.84