Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.06 / $125.55 / $317.89	Facility	26	$44.06	$125.55	$317.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $345.21 / $724.80	Professional		$315.77	$345.21	$724.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $44.06 / $106.62	Professional	26	$42.52	$44.06	$106.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $273.25 / $301.16 / $728.80	Professional	TC	$273.25	$301.16	$728.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $376.89 / $410.81 / $1,318.70	Professional		$376.89	$410.81	$1,318.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $53.89 / $53.89 / $59.38	Professional	26	$53.89	$53.89	$59.38
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $323.00 / $323.00 / $352.07	Professional	TC	$323.00	$323.00	$352.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.92 / $521.86 / $1,786.46	Professional		$308.92	$521.86	$1,786.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.82 / $85.11 / $218.87	Professional	26	$41.82	$85.11	$218.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.10 / $436.75 / $1,567.59	Professional	TC	$267.10	$436.75	$1,567.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.84 / $830.30 / $830.30	Professional		$366.84	$830.30	$830.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.66 / $109.34 / $109.34	Professional	26	$49.66	$109.34	$109.34
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $317.18 / $720.98 / $720.98	Professional	TC	$317.18	$720.98	$720.98
United Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $437.48 / $1,242.04	Professional		$290.77	$437.48	$1,242.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.82 / $56.54 / $163.56	Professional	26	$40.82	$56.54	$163.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.05 / $509.34 / $1,078.48	Professional	TC	$248.05	$509.34	$1,078.48