Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $288.40 / $660.69	Facility	26	$117.49	$288.40	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,230.27	Professional		$346.74	$478.63	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $165.96 / $371.54	Professional	26	$104.71	$165.96	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $851.14	Professional	TC	$245.47	$338.84	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $501.19 / $3,981.07	Professional		$128.82	$501.19	$3,981.07
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $144.54 / $295.12	Professional	26	$128.82	$144.54	$295.12
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $331.13 / $1,737.80	Professional	TC	$316.23	$331.13	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,412.54	Professional		$436.52	$851.14	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $128.82 / $295.12	Professional	26	$89.13	$128.82	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $660.69 / $1,174.90	Professional	TC	$331.13	$660.69	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $831.76	Professional		$354.81	$426.58	$831.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $120.23 / $229.09	Professional	26	$104.71	$120.23	$229.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $302.00 / $616.60	Professional	TC	$251.19	$302.00	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,258.93	Professional		$354.81	$676.08	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $128.82 / $354.81	Professional	26	$77.62	$128.82	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $512.86 / $912.01	Professional	TC	$275.42	$512.86	$912.01