Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $275.42 / $537.03	Facility	26	$117.49	$275.42	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $933.25	Professional		$346.74	$457.09	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $223.87	Professional	26	$87.10	$125.89	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $676.08	Professional	TC	$257.04	$338.84	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $467.74 / $2,041.74	Professional		$117.49	$467.74	$2,041.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $95.50 / $114.82	Professional	26	$77.62	$95.50	$114.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $389.05 / $489.78	Professional	TC	$346.74	$389.05	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,148.15	Professional		$346.74	$562.34	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $239.88	Professional	26	$72.44	$104.71	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $446.68 / $954.99	Professional	TC	$269.15	$446.68	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $831.76	Professional		$363.08	$389.05	$831.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $89.13 / $186.21	Professional	26	$85.11	$89.13	$186.21
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $302.00 / $645.65	Professional	TC	$275.42	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,258.93	Professional		$331.13	$537.03	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $107.15 / $288.40	Professional	26	$63.10	$107.15	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $436.52 / $977.24	Professional	TC	$257.04	$436.52	$977.24