Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $276.31 / $445.73	Facility	26	$118.59	$276.31	$445.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $761.51	Professional		$400.00	$400.00	$761.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $177.13	Professional	26	$118.59	$118.59	$177.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $281.41 / $584.38	Professional	TC	$281.41	$281.41	$584.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $444.81 / $449.25 / $1,499.72	Professional		$444.81	$449.25	$1,499.72
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $74.66 / $82.96 / $86.99	Professional	26	$74.66	$82.96	$86.99
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $332.50 / $369.44 / $451.00	Professional	TC	$332.50	$369.44	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $591.20 / $1,274.58	Professional		$355.68	$591.20	$1,274.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.64 / $101.60 / $215.23	Professional	26	$58.64	$101.60	$215.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $277.08 / $509.54 / $984.81	Professional	TC	$277.08	$509.54	$984.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.72 / $643.65 / $643.65	Professional		$285.72	$643.65	$643.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.64 / $153.31 / $153.31	Professional	26	$69.64	$153.31	$153.31
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $216.09 / $490.35 / $490.35	Professional	TC	$216.09	$490.35	$490.35
United Facility/Professional Professional Modifier Low / Median / High Price $244.89 / $414.38 / $991.55	Professional		$244.89	$414.38	$991.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.46 / $105.18 / $236.17	Professional	26	$58.46	$105.18	$236.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.89 / $304.18 / $755.38	Professional	TC	$183.89	$304.18	$755.38