Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $286.98 / $663.34	Facility	26	$118.59	$286.98	$663.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $543.73	Professional		$400.00	$425.00	$543.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.11 / $126.00 / $223.28	Professional	26	$110.11	$126.00	$223.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $395.59	Professional	TC	$281.41	$299.00	$395.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $590.04 / $688.61 / $3,155.43	Professional		$590.04	$688.61	$3,155.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $111.11 / $123.46 / $194.85	Professional	26	$111.11	$123.46	$194.85
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $466.58 / $570.52 / $941.36	Professional	TC	$466.58	$570.52	$941.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.54 / $1,068.09 / $1,812.43	Professional		$480.54	$1,068.09	$1,812.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.17 / $152.16 / $323.45	Professional	26	$88.17	$152.16	$323.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $340.24 / $798.72 / $1,392.40	Professional	TC	$340.24	$798.72	$1,392.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.45 / $425.30 / $820.91	Professional		$355.45	$425.30	$820.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $104.70 / $121.23 / $228.15	Professional	26	$104.70	$121.23	$228.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $250.24 / $304.07 / $592.76	Professional	TC	$250.24	$304.07	$592.76
United Facility/Professional Professional Modifier Low / Median / High Price $358.50 / $594.14 / $1,278.08	Professional		$358.50	$594.14	$1,278.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.98 / $120.19 / $351.47	Professional	26	$76.98	$120.19	$351.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.88 / $459.42 / $1,018.77	Professional	TC	$278.88	$459.42	$1,018.77