Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $367.77 / $713.04	Facility	26	$118.59	$367.77	$713.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $742.17	Professional		$400.00	$400.00	$742.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $190.93	Professional	26	$118.59	$118.59	$190.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $281.41 / $542.85	Professional	TC	$281.41	$281.41	$542.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $456.95 / $456.98 / $1,819.20	Professional		$456.95	$456.98	$1,819.20
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $90.99 / $100.92 / $105.47	Professional	26	$90.99	$100.92	$105.47
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $324.17 / $360.19 / $479.05	Professional	TC	$324.17	$360.19	$479.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.37 / $718.60 / $1,308.18	Professional		$366.37	$718.60	$1,308.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.06 / $123.90 / $351.33	Professional	26	$72.06	$123.90	$351.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.80 / $576.91 / $999.13	Professional	TC	$270.80	$576.91	$999.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.47 / $669.10 / $669.10	Professional		$299.47	$669.10	$669.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.58 / $186.83 / $186.83	Professional	26	$85.58	$186.83	$186.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $213.89 / $482.26 / $482.26	Professional	TC	$213.89	$482.26	$482.26
United Facility/Professional Professional Modifier Low / Median / High Price $288.43 / $819.04 / $1,030.76	Professional		$288.43	$819.04	$1,030.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.90 / $98.65 / $287.81	Professional	26	$73.90	$98.65	$287.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.53 / $388.02 / $742.95	Professional	TC	$223.53	$388.02	$742.95