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 / $441.60	Facility	26	$118.59	$276.31	$441.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $475.00	Professional		$400.00	$425.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $144.12	Professional	26	$118.59	$126.00	$144.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $335.00	Professional	TC	$281.41	$299.00	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.47 / $341.52 / $1,483.88	Professional		$335.47	$341.52	$1,483.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $73.97 / $82.19 / $130.47	Professional	26	$73.97	$82.19	$130.47
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $236.20 / $262.44 / $433.03	Professional	TC	$236.20	$262.44	$433.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $579.62 / $928.09	Professional		$285.39	$579.62	$928.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.09 / $101.08 / $214.43	Professional	26	$58.09	$101.08	$214.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.43 / $427.22 / $770.75	Professional	TC	$216.43	$427.22	$770.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $245.27 / $473.66	Professional		$205.41	$245.27	$473.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.98 / $79.87 / $151.88	Professional	26	$68.98	$79.87	$151.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $136.13 / $165.40 / $321.77	Professional	TC	$136.13	$165.40	$321.77
United Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $423.18 / $729.68	Professional		$213.21	$423.18	$729.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.07 / $99.30 / $233.98	Professional	26	$56.07	$99.30	$233.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.19 / $366.82 / $657.66	Professional	TC	$150.19	$366.82	$657.66