Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $229.09 / $457.09	Facility	26	$117.49	$229.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $758.58	Professional		$251.19	$407.38	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $117.49 / $177.83	Professional	26	$72.44	$117.49	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $588.84	Professional	TC	$181.97	$288.40	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $2,187.76	Professional		$309.03	$407.38	$2,187.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $87.10 / $107.15	Professional	26	$56.23	$87.10	$107.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $269.15 / $389.05	Professional	TC	$245.47	$269.15	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,174.90	Professional		$338.84	$549.54	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $199.53	Professional	26	$54.95	$70.79	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $478.63 / $870.96	Professional	TC	$269.15	$478.63	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $645.65	Professional		$263.03	$309.03	$645.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $83.18 / $154.88	Professional	26	$70.79	$83.18	$154.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $229.09 / $489.78	Professional	TC	$190.55	$229.09	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $912.01	Professional		$257.04	$467.74	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $89.13 / $239.88	Professional	26	$40.74	$89.13	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $416.87 / $676.08	Professional	TC	$199.53	$416.87	$676.08