Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $213.80 / $524.81	Facility	26	$74.13	$213.80	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $602.56	Professional		$234.42	$309.03	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $257.04	Professional	26	$74.13	$87.10	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $213.80 / $489.78	Professional	TC	$165.96	$213.80	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $389.05 / $2,187.76	Professional		$141.25	$389.05	$2,187.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $107.15	Professional	26	$75.86	$95.50	$107.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $275.42 / $346.74	Professional	TC	$257.04	$275.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,230.27	Professional		$346.74	$549.54	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $234.42	Professional	26	$70.79	$100.00	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $426.58 / $954.99	Professional	TC	$245.47	$426.58	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $676.08	Professional		$288.40	$346.74	$676.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $95.50 / $181.97	Professional	26	$83.18	$95.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $251.19 / $489.78	Professional	TC	$208.93	$251.19	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $1,023.29	Professional		$269.15	$478.63	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $104.71 / $275.42	Professional	26	$60.26	$104.71	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $407.38 / $741.31	Professional	TC	$204.17	$407.38	$741.31