Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.33 / $263.13 / $660.92	Facility	26	$92.33	$263.13	$660.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $380.98 / $541.83	Professional		$351.04	$380.98	$541.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $92.33 / $220.50	Professional	26	$89.13	$92.33	$220.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $261.91 / $288.64 / $447.91	Professional	TC	$261.91	$288.64	$447.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $545.54 / $546.03 / $3,250.85	Professional		$545.54	$546.03	$3,250.85
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $114.93 / $114.93 / $134.19	Professional	26	$114.93	$114.93	$134.19
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $388.00 / $431.10 / $469.90	Professional	TC	$388.00	$431.10	$469.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.65 / $708.28 / $1,803.63	Professional		$476.65	$708.28	$1,803.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.86 / $150.77 / $427.29	Professional	26	$87.86	$150.77	$427.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.08 / $584.15 / $1,376.34	Professional	TC	$365.08	$584.15	$1,376.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.58 / $480.01 / $924.11	Professional		$400.58	$480.01	$924.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.33 / $120.80 / $227.32	Professional	26	$104.33	$120.80	$227.32
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $295.64 / $359.21 / $696.79	Professional	TC	$295.64	$359.21	$696.79
United Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $713.68 / $1,402.66	Professional		$342.28	$713.68	$1,402.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.12 / $182.11 / $345.03	Professional	26	$81.12	$182.11	$345.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.31 / $384.10 / $1,057.63	Professional	TC	$206.31	$384.10	$1,057.63