Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.50 / $218.03 / $546.85	Facility	26	$76.50	$218.03	$546.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $251.60 / $438.48	Professional		$232.76	$251.60	$438.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $76.50 / $94.75	Professional	26	$73.84	$76.50	$94.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.91 / $175.10 / $351.12	Professional	TC	$158.91	$175.10	$351.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $430.78 / $438.11 / $1,630.89	Professional		$430.78	$438.11	$1,630.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $88.54 / $99.37 / $111.04	Professional	26	$88.54	$99.37	$111.04
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $298.27 / $331.41 / $391.50	Professional	TC	$298.27	$331.41	$391.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.93 / $642.70 / $1,447.05	Professional		$386.93	$642.70	$1,447.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.54 / $124.95 / $353.52	Professional	26	$72.54	$124.95	$353.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $283.56 / $538.83 / $1,093.53	Professional	TC	$283.56	$538.83	$1,093.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.19 / $386.01 / $742.12	Professional		$322.19	$386.01	$742.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.15 / $99.75 / $188.09	Professional	26	$86.15	$99.75	$188.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $235.59 / $286.26 / $554.04	Professional	TC	$235.59	$286.26	$554.04
United Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $948.48 / $1,126.43	Professional		$279.16	$948.48	$1,126.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.68 / $97.71 / $285.49	Professional	26	$73.68	$97.71	$285.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.48 / $345.34 / $840.94	Professional	TC	$199.48	$345.34	$840.94