Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $257.85 / $407.02	Facility	26	$118.59	$257.85	$407.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.90 / $400.00 / $475.00	Professional		$362.90	$400.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $161.00	Professional	26	$118.59	$126.00	$161.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $360.20	Professional	TC	$281.41	$299.00	$360.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $393.17 / $458.47 / $1,463.69	Professional		$393.17	$458.47	$1,463.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $72.91 / $79.47	Professional	26	$64.95	$72.91	$79.47
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $317.41 / $385.56 / $420.26	Professional	TC	$317.41	$385.56	$420.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $576.48 / $1,064.72	Professional		$317.56	$576.48	$1,064.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $93.81 / $198.43	Professional	26	$53.85	$93.81	$198.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.18 / $484.03 / $880.74	Professional	TC	$257.18	$484.03	$880.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $280.58 / $543.24	Professional		$234.13	$280.58	$543.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.95 / $74.05 / $139.99	Professional	26	$63.95	$74.05	$139.99
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $169.96 / $206.54 / $403.25	Professional	TC	$169.96	$206.54	$403.25
United Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $399.02 / $836.86	Professional		$222.40	$399.02	$836.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.88 / $91.09 / $215.66	Professional	26	$51.88	$91.09	$215.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.28 / $342.03 / $750.95	Professional	TC	$188.28	$342.03	$750.95