Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $276.31 / $542.12	Facility	26	$118.59	$276.31	$542.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $906.52	Professional		$400.00	$400.00	$906.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $198.81	Professional	26	$118.59	$118.59	$198.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $281.41 / $655.68	Professional	TC	$281.41	$281.41	$655.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $511.14 / $573.66 / $1,545.65	Professional		$511.14	$573.66	$1,545.65
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $87.23 / $96.51 / $105.20	Professional	26	$87.23	$96.51	$105.20
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $419.92 / $477.16 / $520.10	Professional	TC	$419.92	$477.16	$520.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.39 / $747.24 / $1,597.84	Professional		$459.39	$747.24	$1,597.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.93 / $124.48 / $262.60	Professional	26	$71.93	$124.48	$262.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $362.96 / $525.00 / $1,247.43	Professional	TC	$362.96	$525.00	$1,247.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.04 / $425.87 / $818.73	Professional		$355.04	$425.87	$818.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.41 / $98.90 / $186.46	Professional	26	$85.41	$98.90	$186.46
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $269.14 / $326.95 / $632.27	Professional	TC	$269.14	$326.95	$632.27
United Facility/Professional Professional Modifier Low / Median / High Price $333.75 / $450.22 / $1,257.29	Professional		$333.75	$450.22	$1,257.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.86 / $208.21 / $286.33	Professional	26	$74.86	$208.21	$286.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.52 / $440.56 / $970.95	Professional	TC	$255.52	$440.56	$970.95