Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $676.08	Facility	26	$75.86	$75.86	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $812.83	Professional		$229.09	$338.84	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $107.15 / $316.23	Professional	26	$75.86	$107.15	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $169.82 / $407.38	Professional	TC	$138.04	$169.82	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $1,023.29	Professional		$190.55	$275.42	$1,023.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $85.11 / $169.82	Professional	26	$77.62	$85.11	$169.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $173.78 / $309.03	Professional	TC	$154.88	$173.78	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $660.69	Professional		$234.42	$323.59	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $218.78	Professional	26	$81.28	$112.20	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $194.98 / $436.52	Professional	TC	$154.88	$194.98	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $549.54	Professional		$245.47	$269.15	$549.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $89.13 / $177.83	Professional	26	$85.11	$89.13	$177.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $177.83 / $363.08	Professional	TC	$162.18	$177.83	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $549.54	Professional		$204.17	$281.84	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $104.71 / $186.21	Professional	26	$74.13	$104.71	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $181.97 / $371.54	Professional	TC	$128.82	$181.97	$371.54