Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.83 / $218.97 / $549.16	Facility	26	$76.83	$218.97	$549.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $251.93 / $438.87	Professional		$233.06	$251.93	$438.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.15 / $76.83 / $185.92	Professional	26	$74.15	$76.83	$185.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.91 / $175.10 / $350.77	Professional	TC	$158.91	$175.10	$350.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.40 / $420.50 / $1,483.88	Professional		$402.40	$420.50	$1,483.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $89.20 / $100.11 / $111.50	Professional	26	$89.20	$100.11	$111.50
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $288.35 / $320.39 / $481.64	Professional	TC	$288.35	$320.39	$481.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.09 / $659.16 / $1,319.84	Professional		$383.09	$659.16	$1,319.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.84 / $125.87 / $356.63	Professional	26	$72.84	$125.87	$356.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $273.37 / $543.41 / $963.21	Professional	TC	$273.37	$543.41	$963.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $681.63 / $681.63	Professional		$307.00	$681.63	$681.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.52 / $188.88 / $188.88	Professional	26	$86.52	$188.88	$188.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $220.49 / $492.75 / $492.75	Professional	TC	$220.49	$492.75	$492.75
United Facility/Professional Professional Modifier Low / Median / High Price $241.49 / $437.76 / $1,034.60	Professional		$241.49	$437.76	$1,034.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.06 / $102.57 / $286.69	Professional	26	$65.06	$102.57	$286.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.56 / $387.70 / $747.92	Professional	TC	$183.56	$387.70	$747.92