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 / $454.60	Facility	26	$118.59	$229.43	$454.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $660.31	Professional		$400.00	$400.00	$660.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $118.59 / $167.66	Professional	26	$110.00	$118.59	$167.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $281.41 / $492.62	Professional	TC	$281.41	$281.41	$492.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $432.48 / $440.10 / $1,459.85	Professional		$432.48	$440.10	$1,459.85
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $81.39 / $88.72	Professional	26	$62.67	$81.39	$88.72
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $322.83 / $358.71 / $477.08	Professional	TC	$322.83	$358.71	$477.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.14 / $650.00 / $1,206.25	Professional		$356.14	$650.00	$1,206.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.11 / $89.40 / $221.31	Professional	26	$57.11	$89.40	$221.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $296.52 / $511.31 / $1,075.54	Professional	TC	$296.52	$511.31	$1,075.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $598.28 / $598.28	Professional		$268.42	$598.28	$598.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $71.01 / $156.36 / $156.36	Professional	26	$71.01	$156.36	$156.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $197.41 / $441.95 / $441.95	Professional	TC	$197.41	$441.95	$441.95
United Facility/Professional Professional Modifier Low / Median / High Price $258.67 / $398.35 / $1,055.99	Professional		$258.67	$398.35	$1,055.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.97 / $81.04 / $240.11	Professional	26	$40.97	$81.04	$240.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.80 / $296.70 / $917.34	Professional	TC	$197.80	$296.70	$917.34