Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $575.44 / $1,445.44	Facility	26	$204.17	$575.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $933.25	Professional		$338.84	$478.63	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $302.00 / $741.31	Professional	26	$165.96	$302.00	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $275.42 / $851.14	Professional	TC	$190.55	$275.42	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $912.01 / $1,348.96	Professional		$380.19	$912.01	$1,348.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $223.87 / $263.03	Professional	26	$218.78	$223.87	$263.03
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $281.84 / $316.23	Professional	TC	$257.04	$281.84	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $2,137.96	Professional		$426.58	$489.78	$2,137.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $234.42 / $977.24	Professional	26	$181.97	$234.42	$977.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $245.47 / $1,148.15	Professional	TC	$229.09	$245.47	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $1,096.48	Professional		$524.81	$602.56	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $275.42 / $501.19	Professional	26	$234.42	$275.42	$501.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $323.59 / $588.84	Professional	TC	$281.84	$323.59	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,548.82	Professional		$389.05	$588.84	$1,548.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $269.15 / $707.95	Professional	26	$173.78	$269.15	$707.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $831.76	Professional	TC	$213.80	$323.59	$831.76