Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $136.38 / $136.38 / $982.36	Facility	26	$136.38	$136.38	$982.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.75 / $436.25 / $436.25	Professional		$336.75	$436.25	$436.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.58 / $136.38 / $137.41	Professional	26	$130.58	$136.38	$137.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.33 / $299.86 / $299.86	Professional	TC	$199.33	$299.86	$299.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $405.28 / $533.57 / $1,131.07	Professional		$405.28	$533.57	$1,131.07
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $162.37 / $166.22 / $215.95	Professional	26	$162.37	$166.22	$215.95
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $242.91 / $323.07 / $367.35	Professional	TC	$242.91	$323.07	$367.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.33 / $553.21 / $2,139.63	Professional		$360.33	$553.21	$2,139.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.99 / $223.82 / $665.82	Professional	26	$131.99	$223.82	$665.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.02 / $329.39 / $1,473.81	Professional	TC	$201.02	$329.39	$1,473.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.70 / $1,084.58 / $1,084.58	Professional		$497.70	$1,084.58	$1,084.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $156.72 / $337.88 / $337.88	Professional	26	$156.72	$337.88	$337.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $340.96 / $746.71 / $746.71	Professional	TC	$340.96	$746.71	$746.71
United Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $451.44 / $1,537.68	Professional		$290.08	$451.44	$1,537.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.28 / $341.98 / $479.03	Professional	26	$116.28	$341.98	$479.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.28 / $503.61 / $1,058.65	Professional	TC	$177.28	$503.61	$1,058.65