Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $269.15 / $588.84	Facility	26	$83.18	$269.15	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $588.84	Professional		$91.20	$134.90	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $52.48 / $234.42	Professional	TC	$30.90	$52.48	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $588.84 / $758.58	Professional		$147.91	$588.84	$758.58
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $67.61 / $125.89	Professional	TC	$57.54	$67.61	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $676.08	Professional		$120.23	$173.78	$676.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $77.62 / $263.03	Professional	TC	$41.69	$77.62	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $331.13	Professional		$151.36	$177.83	$331.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $107.15 / $204.17	Professional	26	$93.33	$107.15	$204.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $69.18 / $128.82	Professional	TC	$60.26	$69.18	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $501.19	Professional		$128.82	$181.97	$501.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $70.79 / $194.98	Professional	TC	$48.98	$70.79	$194.98