Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $256.33 / $497.36	Facility	26	$118.59	$256.33	$497.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $400.00 / $475.00	Professional		$366.98	$400.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $140.00	Professional	26	$118.59	$126.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $335.00	Professional	TC	$281.41	$299.00	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $451.76 / $491.98 / $1,463.69	Professional		$451.76	$491.98	$1,463.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $73.76 / $80.40	Professional	26	$65.72	$73.76	$80.40
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $376.40 / $418.22 / $455.86	Professional	TC	$376.40	$418.22	$455.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.92 / $576.48 / $1,468.52	Professional		$403.92	$576.48	$1,468.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.16 / $93.81 / $199.53	Professional	26	$54.16	$93.81	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.71 / $502.69 / $1,200.69	Professional	TC	$331.71	$502.69	$1,200.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.86 / $743.24 / $743.24	Professional		$329.86	$743.24	$743.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $141.60 / $141.60	Professional	26	$64.31	$141.60	$141.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $265.54 / $601.64 / $601.64	Professional	TC	$265.54	$601.64	$601.64
United Facility/Professional Professional Modifier Low / Median / High Price $279.73 / $401.65 / $1,144.96	Professional		$279.73	$401.65	$1,144.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.87 / $76.34 / $218.13	Professional	26	$51.87	$76.34	$218.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.30 / $423.60 / $926.83	Professional	TC	$223.30	$423.60	$926.83