Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.05 / $416.36 / $466.98	Facility	26	$172.05	$416.36	$466.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $288.05 / $673.09	Professional		$266.75	$288.05	$673.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.93 / $172.05 / $259.94	Professional	26	$168.93	$172.05	$259.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.82 / $112.47 / $157.63	Professional	TC	$97.82	$112.47	$157.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.90 / $282.11 / $465.48	Professional		$253.90	$282.11	$465.48
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $152.21 / $169.12 / $279.05	Professional	26	$152.21	$169.12	$279.05
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $101.70 / $112.99 / $186.43	Professional	TC	$101.70	$112.99	$186.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.80 / $727.52 / $1,222.93	Professional		$313.80	$727.52	$1,222.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $196.73 / $443.73 / $779.80	Professional	26	$196.73	$443.73	$779.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.08 / $281.14 / $443.13	Professional	TC	$117.08	$281.14	$443.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $656.01 / $656.01	Professional		$296.45	$656.01	$656.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $185.85 / $406.82 / $406.82	Professional	26	$185.85	$406.82	$406.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $110.61 / $249.19 / $249.19	Professional	TC	$110.61	$249.19	$249.19
United Facility/Professional Professional Modifier Low / Median / High Price $246.61 / $400.33 / $846.48	Professional		$246.61	$400.33	$846.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.82 / $247.25 / $515.17	Professional	26	$154.82	$247.25	$515.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.60 / $162.35 / $335.32	Professional	TC	$98.60	$162.35	$335.32