Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.88 / $184.33 / $353.11	Facility	26	$37.88	$184.33	$353.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $201.13 / $201.13	Professional		$184.78	$201.13	$201.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.24 / $163.26 / $163.26	Professional	TC	$148.24	$163.26	$163.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $280.83 / $970.43	Professional		$257.64	$280.83	$970.43
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $209.77 / $209.77 / $228.65	Professional	TC	$209.77	$209.77	$228.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.51 / $418.95 / $1,027.83	Professional		$185.51	$418.95	$1,027.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.27 / $348.37 / $836.49	Professional	TC	$149.27	$348.37	$836.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $488.32 / $488.32	Professional		$220.30	$488.32	$488.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $93.18 / $93.18	Professional	26	$43.04	$93.18	$93.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $177.25 / $395.14 / $395.14	Professional	TC	$177.25	$395.14	$395.14
United Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $250.83 / $730.47	Professional		$212.28	$250.83	$730.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.88 / $457.35 / $591.08	Professional	TC	$174.88	$457.35	$591.08