Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.34 / $288.83 / $810.49	Facility	26	$101.34	$288.83	$810.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $205.02 / $212.19	Professional		$191.78	$205.02	$212.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.73 / $101.34 / $112.79	Professional	26	$97.73	$101.34	$112.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.05 / $103.68 / $103.68	Professional	TC	$94.05	$103.68	$103.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $517.41 / $564.70 / $815.29	Professional		$517.41	$564.70	$815.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $124.97 / $124.97 / $146.93	Professional	26	$124.97	$124.97	$146.93
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $392.45 / $393.10 / $447.55	Professional	TC	$392.45	$393.10	$447.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.38 / $652.53 / $2,000.81	Professional		$410.38	$652.53	$2,000.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.41 / $162.18 / $469.31	Professional	26	$96.41	$162.18	$469.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.79 / $490.36 / $1,531.50	Professional	TC	$299.79	$490.36	$1,531.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.56 / $518.50 / $1,007.00	Professional		$432.56	$518.50	$1,007.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $114.48 / $132.56 / $248.88	Professional	26	$114.48	$132.56	$248.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $317.54 / $385.94 / $758.12	Professional	TC	$317.54	$385.94	$758.12
United Facility/Professional Professional Modifier Low / Median / High Price $404.32 / $509.79 / $1,528.48	Professional		$404.32	$509.79	$1,528.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.48 / $129.21 / $377.77	Professional	26	$89.48	$129.21	$377.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.97 / $408.88 / $1,150.71	Professional	TC	$279.97	$408.88	$1,150.71