Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.29 / $106.31 / $266.72	Facility	26	$37.29	$106.31	$266.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.83 / $397.38 / $397.38	Professional		$362.83	$397.38	$397.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.99 / $37.29 / $46.63	Professional	26	$35.99	$37.29	$46.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $326.83 / $360.08 / $360.08	Professional	TC	$326.83	$360.08	$360.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.38 / $440.70 / $780.88	Professional		$403.38	$440.70	$780.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $45.91 / $45.91 / $50.04	Professional	26	$45.91	$45.91	$50.04
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $357.47 / $389.64 / $394.79	Professional	TC	$357.47	$389.64	$394.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.07 / $720.79 / $2,046.65	Professional		$357.07	$720.79	$2,046.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.39 / $61.97 / $186.82	Professional	26	$35.39	$61.97	$186.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.68 / $658.81 / $1,859.83	Professional	TC	$321.68	$658.81	$1,859.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.02 / $954.62 / $954.62	Professional		$424.02	$954.62	$954.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.03 / $91.74 / $91.74	Professional	26	$42.03	$91.74	$91.74
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $382.00 / $862.90 / $862.90	Professional	TC	$382.00	$862.90	$862.90
United Facility/Professional Professional Modifier Low / Median / High Price $401.95 / $501.62 / $1,428.01	Professional		$401.95	$501.62	$1,428.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $38.65 / $137.22	Professional	26	$34.06	$38.65	$137.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $367.89 / $955.18 / $1,290.78	Professional	TC	$367.89	$955.18	$1,290.78