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 / $441.60	Facility	26	$118.59	$276.31	$441.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $475.00	Professional		$400.00	$425.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $144.12	Professional	26	$118.59	$126.00	$144.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $335.00	Professional	TC	$281.41	$299.00	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.99 / $514.41 / $1,483.88	Professional		$457.99	$514.41	$1,483.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $79.08 / $86.20	Professional	26	$70.45	$79.08	$86.20
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $388.19 / $432.22 / $471.64	Professional	TC	$388.19	$432.22	$471.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.51 / $602.21 / $1,641.72	Professional		$457.51	$602.21	$1,641.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.40 / $101.08 / $213.33	Professional	26	$58.40	$101.08	$213.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $379.65 / $504.75 / $1,354.59	Professional	TC	$379.65	$504.75	$1,354.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.12 / $827.72 / $827.72	Professional		$367.12	$827.72	$827.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.34 / $151.88 / $151.88	Professional	26	$69.34	$151.88	$151.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $297.77 / $675.83 / $675.83	Professional	TC	$297.77	$675.83	$675.83
United Facility/Professional Professional Modifier Low / Median / High Price $338.04 / $579.49 / $1,275.09	Professional		$338.04	$579.49	$1,275.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.80 / $67.56 / $233.98	Professional	26	$55.80	$67.56	$233.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.17 / $400.16 / $1,041.11	Professional	TC	$253.17	$400.16	$1,041.11