Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $275.42 / $446.68	Facility	26	$117.49	$275.42	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $794.33	Professional		$275.42	$426.58	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $125.89 / $229.09	Professional	26	$74.13	$125.89	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $302.00 / $630.96	Professional	TC	$204.17	$302.00	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $2,041.74	Professional		$323.59	$426.58	$2,041.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $87.10 / $104.71	Professional	26	$81.28	$87.10	$104.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $295.12 / $389.05	Professional	TC	$269.15	$295.12	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $891.25	Professional		$275.42	$501.19	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $194.98	Professional	26	$58.88	$85.11	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $426.58 / $724.44	Professional	TC	$213.80	$426.58	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $660.69	Professional		$275.42	$331.13	$660.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $79.43 / $154.88	Professional	26	$69.18	$79.43	$154.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $251.19 / $512.86	Professional	TC	$208.93	$251.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,000.00	Professional		$269.15	$446.68	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $89.13 / $234.42	Professional	26	$50.12	$89.13	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $346.74 / $758.58	Professional	TC	$204.17	$346.74	$758.58