Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $229.43 / $361.81	Facility	26	$118.59	$229.43	$361.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $475.00	Professional		$400.00	$425.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $126.00 / $140.00	Professional	26	$110.00	$126.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $335.00	Professional	TC	$281.41	$299.00	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $382.83 / $443.39 / $1,460.96	Professional		$382.83	$443.39	$1,460.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $58.18 / $65.30 / $71.18	Professional	26	$58.18	$65.30	$71.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $315.49 / $378.09 / $418.43	Professional	TC	$315.49	$378.09	$418.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.86 / $577.21 / $1,138.24	Professional		$337.86	$577.21	$1,138.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.60 / $83.12 / $176.66	Professional	26	$47.60	$83.12	$176.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.95 / $494.46 / $1,008.37	Professional	TC	$273.95	$494.46	$1,008.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.25 / $525.25 / $525.25	Professional		$235.25	$525.25	$525.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.53 / $124.44 / $124.44	Professional	26	$56.53	$124.44	$124.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $178.73 / $400.81 / $400.81	Professional	TC	$178.73	$400.81	$400.81
United Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $356.11 / $806.60	Professional		$213.81	$356.11	$806.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.12 / $81.09 / $191.10	Professional	26	$46.12	$81.09	$191.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.87 / $275.01 / $863.96	Professional	TC	$144.87	$275.01	$863.96