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 / $650.57	Facility	26	$118.59	$286.98	$650.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $486.94	Professional		$400.00	$425.00	$486.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $213.20	Professional	26	$118.59	$126.00	$213.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $365.32	Professional	TC	$281.41	$299.00	$365.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $665.45 / $684.80 / $3,107.33	Professional		$665.45	$684.80	$3,107.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $103.26 / $115.83 / $126.25	Professional	26	$103.26	$115.83	$126.25
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $507.34 / $563.71 / $864.22	Professional	TC	$507.34	$563.71	$864.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.67 / $1,161.60 / $1,862.16	Professional		$522.67	$1,161.60	$1,862.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.49 / $148.26 / $314.52	Professional	26	$86.49	$148.26	$314.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $411.03 / $940.33 / $1,635.40	Professional	TC	$411.03	$940.33	$1,635.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.01 / $484.51 / $939.92	Professional		$404.01	$484.51	$939.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.71 / $118.93 / $223.76	Professional	26	$102.71	$118.93	$223.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $300.80 / $365.57 / $716.16	Professional	TC	$300.80	$365.57	$716.16
United Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $655.81 / $1,447.95	Professional		$389.59	$655.81	$1,447.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $115.46 / $344.70	Professional	26	$73.00	$115.46	$344.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $297.99 / $510.86 / $1,103.25	Professional	TC	$297.99	$510.86	$1,103.25