Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $88.47 / $317.95	Facility	26	$35.11	$88.47	$317.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $175.46 / $252.57	Professional		$144.33	$175.46	$252.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $51.43 / $84.99	Professional	26	$35.11	$51.43	$84.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.21 / $120.48 / $189.87	Professional	TC	$109.21	$120.48	$189.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $208.17 / $618.91	Professional		$185.22	$208.17	$618.91
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $45.10 / $153.81	Professional	26	$40.81	$45.10	$153.81
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $144.41 / $163.08 / $243.87	Professional	TC	$144.41	$163.08	$243.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $241.23 / $535.95	Professional		$161.99	$241.23	$535.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.28 / $65.37 / $136.50	Professional	26	$37.28	$65.37	$136.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $122.75 / $181.05 / $399.44	Professional	TC	$122.75	$181.05	$399.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $196.71 / $376.50	Professional		$163.96	$196.71	$376.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.85 / $43.63 / $82.95	Professional	26	$37.85	$43.63	$82.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $126.10 / $153.09 / $293.54	Professional	TC	$126.10	$153.09	$293.54
United Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $267.52 / $516.69	Professional		$150.71	$267.52	$516.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $60.21 / $106.48	Professional	26	$34.65	$60.21	$106.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.01 / $164.15 / $371.73	Professional	TC	$114.01	$164.15	$371.73