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 / $609.57	Facility	26	$118.59	$286.98	$609.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $475.00	Professional		$400.00	$400.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $159.91	Professional	26	$118.59	$118.59	$159.91
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 $531.83 / $548.05 / $1,756.65	Professional		$531.83	$548.05	$1,756.65
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $88.78 / $96.77	Professional	26	$79.09	$88.78	$96.77
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $413.35 / $459.28 / $500.62	Professional	TC	$413.35	$459.28	$500.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.53 / $692.37 / $1,515.30	Professional		$426.53	$692.37	$1,515.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.93 / $112.72 / $239.36	Professional	26	$64.93	$112.72	$239.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.55 / $603.38 / $1,192.92	Professional	TC	$342.55	$603.38	$1,192.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.97 / $395.05 / $765.76	Professional		$328.97	$395.05	$765.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.11 / $89.29 / $168.96	Professional	26	$77.11	$89.29	$168.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $251.63 / $305.77 / $596.79	Professional	TC	$251.63	$305.77	$596.79
United Facility/Professional Professional Modifier Low / Median / High Price $290.63 / $444.48 / $1,179.66	Professional		$290.63	$444.48	$1,179.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.21 / $110.84 / $260.27	Professional	26	$63.21	$110.84	$260.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.47 / $422.54 / $919.38	Professional	TC	$231.47	$422.54	$919.38