Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.98 / $218.53 / $580.77	Facility	26	$73.98	$218.53	$580.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.84 / $438.98 / $1,062.33	Professional		$401.84	$438.98	$1,062.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.83 / $73.98 / $165.84	Professional	26	$70.83	$73.98	$165.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.01 / $364.99 / $883.27	Professional	TC	$331.01	$364.99	$883.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.47 / $630.47 / $1,401.07	Professional		$630.47	$630.47	$1,401.07
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $83.27 / $83.27 / $197.85	Professional	26	$83.27	$83.27	$197.85
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $543.76 / $547.20 / $727.78	Professional	TC	$543.76	$547.20	$727.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $553.60 / $2,209.58	Professional		$431.78	$553.60	$2,209.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.01 / $119.41 / $361.83	Professional	26	$71.01	$119.41	$361.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $357.64 / $434.19 / $1,847.75	Professional	TC	$357.64	$434.19	$1,847.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.70 / $1,068.77 / $1,068.77	Professional		$477.70	$1,068.77	$1,068.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.32 / $183.25 / $183.25	Professional	26	$84.32	$183.25	$183.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $393.38 / $885.55 / $885.55	Professional	TC	$393.38	$885.55	$885.55
United Facility/Professional Professional Modifier Low / Median / High Price $410.38 / $733.10 / $1,515.26	Professional		$410.38	$733.10	$1,515.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.62 / $113.32 / $259.80	Professional	26	$59.62	$113.32	$259.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $350.76 / $463.30 / $1,255.46	Professional	TC	$350.76	$463.30	$1,255.46