Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $416.87 / $467.74	Facility	26	$173.78	$416.87	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $933.25	Professional		$269.15	$323.59	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $199.53 / $457.09	Professional	26	$169.82	$199.53	$457.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $114.82 / $199.53	Professional	TC	$97.72	$114.82	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $251.19 / $346.74	Professional		$112.20	$251.19	$346.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $169.82 / $457.09	Professional	26	$162.18	$169.82	$457.09
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $102.33 / $151.36	Professional	TC	$102.33	$102.33	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $1,230.27	Professional		$346.74	$457.09	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $281.84 / $776.25	Professional	26	$213.80	$281.84	$776.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $177.83 / $446.68	Professional	TC	$128.82	$177.83	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $660.69	Professional		$323.59	$371.54	$660.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $229.09 / $407.38	Professional	26	$194.98	$229.09	$407.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $144.54 / $251.19	Professional	TC	$125.89	$144.54	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $831.76	Professional		$288.40	$512.86	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $346.74 / $512.86	Professional	26	$169.82	$346.74	$512.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $223.87 / $316.23	Professional	TC	$112.20	$223.87	$316.23