Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $244.13 / $286.98 / $663.34	Facility	26	$244.13	$286.98	$663.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $541.63	Professional		$400.00	$425.00	$541.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $223.28	Professional	26	$118.59	$126.00	$223.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $394.51	Professional	TC	$281.41	$299.00	$394.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $587.51 / $686.79 / $3,155.43	Professional		$587.51	$686.79	$3,155.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $111.11 / $123.46 / $195.54	Professional	26	$111.11	$123.46	$195.54
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $464.05 / $568.28 / $937.66	Professional	TC	$464.05	$568.28	$937.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.69 / $1,063.96 / $1,812.43	Professional		$478.69	$1,063.96	$1,812.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.17 / $152.16 / $323.45	Professional	26	$88.17	$152.16	$323.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.96 / $798.36 / $1,386.92	Professional	TC	$338.96	$798.36	$1,386.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.85 / $817.67 / $817.67	Professional		$365.85	$817.67	$817.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.70 / $228.15 / $228.15	Professional	26	$104.70	$228.15	$228.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $261.14 / $589.54 / $589.54	Professional	TC	$261.14	$589.54	$589.54
United Facility/Professional Professional Modifier Low / Median / High Price $358.19 / $565.01 / $1,273.64	Professional		$358.19	$565.01	$1,273.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.72 / $120.19 / $351.47	Professional	26	$86.72	$120.19	$351.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.17 / $507.49 / $908.16	Professional	TC	$278.17	$507.49	$908.16