Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.25 / $194.96 / $373.96	Facility	26	$40.25	$194.96	$373.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $205.48 / $497.26	Professional		$188.86	$205.48	$497.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.83 / $40.25 / $97.40	Professional	26	$38.83	$40.25	$97.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.03 / $165.23 / $399.85	Professional	TC	$150.03	$165.23	$399.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $291.66 / $986.88	Professional		$257.70	$291.66	$986.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $49.99 / $49.99 / $54.49	Professional	26	$49.99	$49.99	$54.49
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $207.72 / $207.72 / $238.54	Professional	TC	$207.72	$207.72	$238.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $444.05 / $1,058.06	Professional		$187.46	$444.05	$1,058.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.19 / $76.18 / $203.21	Professional	26	$38.19	$76.18	$203.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.27 / $367.87 / $854.85	Professional	TC	$149.27	$367.87	$854.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.61 / $499.84 / $499.84	Professional		$222.61	$499.84	$499.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.35 / $99.87 / $99.87	Professional	26	$45.35	$99.87	$99.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $177.25 / $399.97 / $399.97	Professional	TC	$177.25	$399.97	$399.97
United Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $255.43 / $747.71	Professional		$215.88	$255.43	$747.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.97 / $52.08 / $149.38	Professional	26	$37.97	$52.08	$149.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.32 / $442.76 / $598.32	Professional	TC	$176.32	$442.76	$598.32