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 / $489.78	Facility	26	$117.49	$288.40	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,000.00	Professional		$194.98	$436.52	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $275.42	Professional	26	$83.18	$141.25	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $741.31	Professional	TC	$251.19	$338.84	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $426.58 / $2,344.23	Professional		$95.50	$426.58	$2,344.23
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $77.62 / $141.25	Professional	26	$69.18	$77.62	$141.25
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $363.08 / $467.74	Professional	TC	$323.59	$363.08	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,096.48	Professional		$331.13	$575.44	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $218.78	Professional	26	$64.57	$91.20	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $501.19 / $912.01	Professional	TC	$257.04	$501.19	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $776.25	Professional		$338.84	$363.08	$776.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $81.28 / $169.82	Professional	26	$77.62	$81.28	$169.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $281.84 / $616.60	Professional	TC	$257.04	$281.84	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,174.90	Professional		$316.23	$524.81	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $97.72 / $263.03	Professional	26	$54.95	$97.72	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $426.58 / $912.01	Professional	TC	$245.47	$426.58	$912.01