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 / $538.04	Facility	26	$118.59	$276.31	$538.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $415.24 / $546.25	Professional		$400.00	$415.24	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $140.00	Professional	26	$118.59	$118.59	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $385.24	Professional	TC	$281.41	$299.00	$385.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $510.60 / $573.05 / $1,542.61	Professional		$510.60	$573.05	$1,542.61
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $86.17 / $96.20 / $104.86	Professional	26	$86.17	$96.20	$104.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $424.74 / $476.86 / $519.78	Professional	TC	$424.74	$476.86	$519.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.42 / $613.13 / $1,604.51	Professional		$461.42	$613.13	$1,604.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.69 / $123.03 / $349.32	Professional	26	$71.69	$123.03	$349.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.90 / $509.54 / $1,255.19	Professional	TC	$365.90	$509.54	$1,255.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.71 / $824.59 / $824.59	Professional		$369.71	$824.59	$824.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.13 / $185.06 / $185.06	Professional	26	$85.13	$185.06	$185.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $284.58 / $639.53 / $639.53	Professional	TC	$284.58	$639.53	$639.53
United Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $447.70 / $1,266.28	Professional		$333.14	$447.70	$1,266.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $97.66 / $284.18	Professional	26	$64.06	$97.66	$284.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $462.95 / $982.10	Professional	TC	$255.83	$462.95	$982.10