Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $275.42 / $537.03	Facility	26	$117.49	$275.42	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,000.00	Professional		$346.74	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $288.40	Professional	26	$89.13	$141.25	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $794.33	Professional	TC	$257.04	$338.84	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $457.09 / $2,041.74	Professional		$104.71	$457.09	$2,041.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $102.33 / $154.88	Professional	26	$87.10	$102.33	$154.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $354.81 / $478.63	Professional	TC	$346.74	$354.81	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,148.15	Professional		$346.74	$562.34	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $239.88	Professional	26	$72.44	$102.33	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $457.09 / $954.99	Professional	TC	$269.15	$457.09	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $831.76	Professional		$354.81	$389.05	$831.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $89.13 / $186.21	Professional	26	$85.11	$89.13	$186.21
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $302.00 / $645.65	Professional	TC	$269.15	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,258.93	Professional		$331.13	$537.03	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $107.15 / $281.84	Professional	26	$61.66	$107.15	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $446.68 / $977.24	Professional	TC	$257.04	$446.68	$977.24