Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $308.89 / $776.99	Facility	26	$118.59	$308.89	$776.99
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 / $285.63	Professional	26	$118.59	$126.00	$285.63
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 $596.91 / $601.34 / $1,199.57	Professional		$596.91	$601.34	$1,199.57
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $130.16 / $144.31 / $151.13	Professional	26	$130.16	$144.31	$151.13
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $416.41 / $462.68 / $738.28	Professional	TC	$416.41	$462.68	$738.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.14 / $839.21 / $1,741.45	Professional		$473.14	$839.21	$1,741.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.12 / $176.46 / $503.49	Professional	26	$103.12	$176.46	$503.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $336.82 / $683.29 / $1,237.96	Professional	TC	$336.82	$683.29	$1,237.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.76 / $452.65 / $880.16	Professional		$378.76	$452.65	$880.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $122.46 / $141.79 / $267.24	Professional	26	$122.46	$141.79	$267.24
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $255.82 / $310.86 / $612.91	Professional	TC	$255.82	$310.86	$612.91
United Facility/Professional Professional Modifier Low / Median / High Price $335.49 / $555.71 / $1,355.89	Professional		$335.49	$555.71	$1,355.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.42 / $139.69 / $411.68	Professional	26	$85.42	$139.69	$411.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.88 / $434.18 / $944.21	Professional	TC	$228.88	$434.18	$944.21