Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.15 / $94.15 / $680.48	Facility	26	$94.15	$94.15	$680.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.06 / $398.27 / $417.25	Professional		$366.06	$398.27	$417.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.12 / $94.15 / $268.33	Professional	26	$90.12	$94.15	$268.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $275.94 / $304.12 / $323.22	Professional	TC	$275.94	$304.12	$323.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $483.28 / $483.28 / $642.76	Professional		$483.28	$483.28	$642.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $108.26 / $108.26 / $143.99	Professional	26	$108.26	$108.26	$143.99
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $375.02 / $375.02 / $498.78	Professional	TC	$375.02	$375.02	$498.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.74 / $686.94 / $2,001.97	Professional		$397.74	$686.94	$2,001.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.75 / $153.88 / $462.27	Professional	26	$90.75	$153.88	$462.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $296.66 / $533.04 / $1,539.70	Professional	TC	$296.66	$533.04	$1,539.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.11 / $969.58 / $969.58	Professional		$434.11	$969.58	$969.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.77 / $234.05 / $234.05	Professional	26	$107.77	$234.05	$234.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $326.33 / $735.53 / $735.53	Professional	TC	$326.33	$735.53	$735.53
United Facility/Professional Professional Modifier Low / Median / High Price $362.01 / $660.65 / $1,374.62	Professional		$362.01	$660.65	$1,374.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.08 / $235.54 / $331.82	Professional	26	$80.08	$235.54	$331.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.93 / $515.10 / $1,042.80	Professional	TC	$281.93	$515.10	$1,042.80