Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $286.98 / $693.72	Facility	26	$118.59	$286.98	$693.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $512.58	Professional		$400.00	$425.00	$512.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $273.23	Professional	26	$118.59	$126.00	$273.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $360.20	Professional	TC	$281.41	$299.00	$360.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.05 / $526.50 / $3,137.55	Professional		$526.05	$526.50	$3,137.55
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $116.21 / $129.12 / $203.82	Professional	26	$116.21	$129.12	$203.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $362.68 / $402.97 / $664.90	Professional	TC	$362.68	$402.97	$664.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.18 / $1,006.91 / $1,780.97	Professional		$431.18	$1,006.91	$1,780.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.17 / $157.99 / $448.53	Professional	26	$92.17	$157.99	$448.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $308.52 / $761.80 / $1,253.39	Professional	TC	$308.52	$761.80	$1,253.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $776.51 / $776.51	Professional		$347.88	$776.51	$776.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.45 / $238.60 / $238.60	Professional	26	$109.45	$238.60	$238.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $238.43 / $537.91 / $537.91	Professional	TC	$238.43	$537.91	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $336.91 / $659.83 / $1,196.22	Professional		$336.91	$659.83	$1,196.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.40 / $126.13 / $367.56	Professional	26	$95.40	$126.13	$367.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.03 / $390.30 / $828.66	Professional	TC	$251.03	$390.30	$828.66