Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.71 / $194.27 / $206.69	Facility	26	$88.71	$194.27	$206.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.71 / $344.71 / $827.29	Professional		$344.71	$344.71	$827.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.71 / $88.71 / $212.90	Professional	26	$88.71	$88.71	$212.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.00 / $256.00 / $614.39	Professional	TC	$256.00	$256.00	$614.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.16 / $434.02 / $1,410.00	Professional		$367.16	$434.02	$1,410.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $95.13 / $107.94	Professional	26	$71.81	$95.13	$107.94
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $204.38 / $272.04 / $326.08	Professional	TC	$204.38	$272.04	$326.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.91 / $434.75 / $1,120.96	Professional		$288.91	$434.75	$1,120.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.25 / $128.71 / $278.77	Professional	26	$85.25	$128.71	$278.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.56 / $281.11 / $842.19	Professional	TC	$203.56	$281.11	$842.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.52 / $710.79 / $710.79	Professional		$297.52	$710.79	$710.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.36 / $184.16 / $184.16	Professional	26	$84.36	$184.16	$184.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $213.17 / $526.65 / $526.65	Professional	TC	$213.17	$526.65	$526.65
United Facility/Professional Professional Modifier Low / Median / High Price $281.88 / $588.72 / $823.57	Professional		$281.88	$588.72	$823.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.38 / $183.54 / $213.38	Professional	26	$77.38	$183.54	$213.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.50 / $319.52 / $610.19	Professional	TC	$204.50	$319.52	$610.19