Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $286.98 / $648.21	Facility	26	$118.59	$286.98	$648.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $542.50	Professional		$400.00	$425.00	$542.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $121.62 / $228.86	Professional	26	$118.59	$121.62	$228.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $397.06	Professional	TC	$281.41	$299.00	$397.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $589.77 / $607.41 / $3,133.53	Professional		$589.77	$607.41	$3,133.53
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $108.59 / $120.65 / $191.12	Professional	26	$108.59	$120.65	$191.12
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $442.42 / $491.58 / $811.11	Professional	TC	$442.42	$491.58	$811.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.21 / $1,065.67 / $1,800.18	Professional		$479.21	$1,065.67	$1,800.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.49 / $148.26 / $420.60	Professional	26	$86.49	$148.26	$420.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.09 / $796.51 / $1,399.71	Professional	TC	$342.09	$796.51	$1,399.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.50 / $424.27 / $818.93	Professional		$354.50	$424.27	$818.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.71 / $118.93 / $222.95	Professional	26	$102.71	$118.93	$222.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $251.28 / $305.35 / $595.99	Professional	TC	$251.28	$305.35	$595.99
United Facility/Professional Professional Modifier Low / Median / High Price $356.16 / $564.85 / $1,268.64	Professional		$356.16	$564.85	$1,268.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.25 / $151.58 / $343.45	Professional	26	$84.25	$151.58	$343.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $280.29 / $461.70 / $918.12	Professional	TC	$280.29	$461.70	$918.12