Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.56 / $349.14 / $681.46	Facility	26	$75.56	$349.14	$681.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $250.66 / $434.01	Professional		$231.89	$250.66	$434.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.97 / $75.56 / $179.43	Professional	26	$72.97	$75.56	$179.43
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 $382.07 / $436.26 / $1,619.96	Professional		$382.07	$436.26	$1,619.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $84.59 / $94.93 / $109.66	Professional	26	$84.59	$94.93	$109.66
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $296.12 / $333.89 / $363.94	Professional	TC	$296.12	$333.89	$363.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $638.29 / $1,445.72	Professional		$382.41	$638.29	$1,445.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.65 / $124.50 / $350.64	Professional	26	$71.65	$124.50	$350.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.17 / $538.83 / $1,095.08	Professional	TC	$282.17	$538.83	$1,095.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.95 / $738.99 / $738.99	Professional		$331.95	$738.99	$738.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.09 / $185.75 / $185.75	Professional	26	$85.09	$185.75	$185.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $246.86 / $553.24 / $553.24	Professional	TC	$246.86	$553.24	$553.24
United Facility/Professional Professional Modifier Low / Median / High Price $272.37 / $575.27 / $1,121.68	Professional		$272.37	$575.27	$1,121.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.28 / $96.55 / $281.94	Professional	26	$70.28	$96.55	$281.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.27 / $330.25 / $839.74	Professional	TC	$182.27	$330.25	$839.74