Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.13 / $258.83 / $763.29	Facility	26	$83.13	$258.83	$763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $135.80 / $328.63	Professional		$127.85	$135.80	$328.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $52.67 / $127.46	Professional	TC	$47.86	$52.67	$127.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $190.56 / $708.78	Professional		$180.53	$190.56	$708.78
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $67.97 / $70.26 / $124.86	Professional	TC	$67.97	$70.26	$124.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $326.55 / $675.22	Professional		$127.59	$326.55	$675.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.65 / $126.74 / $262.19	Professional	TC	$49.65	$126.74	$262.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $333.61 / $333.61	Professional		$151.52	$333.61	$333.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $92.56 / $203.78 / $203.78	Professional	26	$92.56	$203.78	$203.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $58.96 / $129.83 / $129.83	Professional	TC	$58.96	$129.83	$129.83
United Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $209.32 / $499.04	Professional		$128.86	$209.32	$499.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.22 / $122.80 / $194.21	Professional	TC	$49.22	$122.80	$194.21