Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $218.78 / $549.54	Facility	26	$75.86	$218.78	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $602.56	Professional		$245.47	$316.23	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $107.15 / $295.12	Professional	26	$77.62	$107.15	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $213.80 / $426.58	Professional	TC	$169.82	$213.80	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $436.52 / $2,089.30	Professional		$100.00	$436.52	$2,089.30
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $112.20	Professional	26	$69.18	$102.33	$112.20
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $323.59 / $389.05	Professional	TC	$295.12	$323.59	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $1,000.00	Professional		$302.00	$501.19	$1,000.00
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 $229.09 / $398.11 / $794.33	Professional	TC	$229.09	$398.11	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $741.31	Professional		$323.59	$354.81	$741.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $91.20 / $186.21	Professional	26	$85.11	$91.20	$186.21
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $263.03 / $549.54	Professional	TC	$239.88	$263.03	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $1,122.02	Professional		$281.84	$446.68	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $109.65 / $288.40	Professional	26	$64.57	$109.65	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $346.74 / $831.76	Professional	TC	$199.53	$346.74	$831.76