Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $276.31 / $542.72	Facility	26	$118.59	$276.31	$542.72
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 $617.73 / $629.50 / $2,789.66	Professional		$617.73	$629.50	$2,789.66
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $86.86 / $97.49 / $106.26	Professional	26	$86.86	$97.49	$106.26
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $478.80 / $532.01 / $774.84	Professional	TC	$478.80	$532.01	$774.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.87 / $1,033.79 / $1,722.95	Professional		$518.87	$1,033.79	$1,722.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.70 / $124.42 / $264.00	Professional	26	$71.70	$124.42	$264.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $439.24 / $852.40 / $1,528.11	Professional	TC	$439.24	$852.40	$1,528.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.79 / $843.12 / $843.12	Professional		$377.79	$843.12	$843.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.15 / $186.66 / $186.66	Professional	26	$85.15	$186.66	$186.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $292.64 / $656.46 / $656.46	Professional	TC	$292.64	$656.46	$656.46
United Facility/Professional Professional Modifier Low / Median / High Price $356.31 / $669.10 / $1,517.26	Professional		$356.31	$669.10	$1,517.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.17 / $97.36 / $286.64	Professional	26	$69.17	$97.36	$286.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.52 / $709.10 / $1,302.92	Professional	TC	$296.52	$709.10	$1,302.92