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 / $448.10	Facility	26	$118.59	$276.31	$448.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $508.11	Professional		$400.00	$425.00	$508.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $126.00 / $165.29	Professional	26	$110.00	$126.00	$165.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $342.84	Professional	TC	$281.41	$299.00	$342.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.95 / $312.82 / $1,657.96	Professional		$308.95	$312.82	$1,657.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $75.43 / $80.23 / $87.46	Professional	26	$75.43	$80.23	$87.46
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $225.56 / $232.58 / $383.76	Professional	TC	$225.56	$232.58	$383.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $594.65 / $951.44	Professional		$266.11	$594.65	$951.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $103.04 / $219.41	Professional	26	$59.25	$103.04	$219.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.47 / $456.16 / $765.71	Professional	TC	$175.47	$456.16	$765.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.61 / $459.76 / $459.76	Professional		$206.61	$459.76	$459.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $154.12 / $154.12	Professional	26	$70.37	$154.12	$154.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $136.25 / $305.66 / $305.66	Professional	TC	$136.25	$305.66	$305.66
United Facility/Professional Professional Modifier Low / Median / High Price $208.18 / $365.03 / $708.26	Professional		$208.18	$365.03	$708.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $81.94 / $237.42	Professional	26	$54.63	$81.94	$237.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.02 / $297.36 / $470.84	Professional	TC	$141.02	$297.36	$470.84