Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $286.98 / $670.47	Facility	26	$118.59	$286.98	$670.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $586.04	Professional		$400.00	$425.00	$586.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $177.92	Professional	26	$118.59	$118.59	$177.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $484.23	Professional	TC	$281.41	$299.00	$484.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $597.59 / $609.04 / $2,789.66	Professional		$597.59	$609.04	$2,789.66
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $83.40 / $94.19	Professional	26	$75.06	$83.40	$94.19
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $475.92 / $528.79 / $774.84	Professional	TC	$475.92	$528.79	$774.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.71 / $1,026.83 / $1,720.38	Professional		$516.71	$1,026.83	$1,720.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $103.17 / $225.00	Professional	26	$58.95	$103.17	$225.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $437.11 / $848.27 / $1,524.75	Professional	TC	$437.11	$848.27	$1,524.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.53 / $807.35 / $807.35	Professional		$361.53	$807.35	$807.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $154.12 / $154.12	Professional	26	$70.00	$154.12	$154.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $291.54 / $653.25 / $653.25	Professional	TC	$291.54	$653.25	$653.25
United Facility/Professional Professional Modifier Low / Median / High Price $361.57 / $1,103.43 / $1,239.81	Professional		$361.57	$1,103.43	$1,239.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.79 / $81.95 / $236.68	Professional	26	$61.79	$81.95	$236.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.41 / $592.14 / $1,003.13	Professional	TC	$294.41	$592.14	$1,003.13