Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.31 / $184.99 / $487.63	Facility	26	$56.31	$184.99	$487.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.06 / $305.14 / $738.43	Professional		$280.06	$305.14	$738.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.25 / $56.31 / $136.27	Professional	26	$54.25	$56.31	$136.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.81 / $248.83 / $602.16	Professional	TC	$225.81	$248.83	$602.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $393.65 / $523.54 / $1,196.33	Professional		$393.65	$523.54	$1,196.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $71.18 / $71.18 / $81.03	Professional	26	$71.18	$71.18	$81.03
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $322.47 / $322.47 / $428.89	Professional	TC	$322.47	$322.47	$428.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.29 / $502.73 / $1,574.13	Professional		$278.29	$502.73	$1,574.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.45 / $97.27 / $283.58	Professional	26	$53.45	$97.27	$283.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.84 / $405.46 / $1,290.54	Professional	TC	$224.84	$405.46	$1,290.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.48 / $744.58 / $744.58	Professional		$330.48	$744.58	$744.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.48 / $139.75 / $139.75	Professional	26	$63.48	$139.75	$139.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $267.00 / $604.83 / $604.83	Professional	TC	$267.00	$604.83	$604.83
United Facility/Professional Professional Modifier Low / Median / High Price $302.30 / $499.19 / $1,113.81	Professional		$302.30	$499.19	$1,113.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.92 / $79.72 / $209.05	Professional	26	$56.92	$79.72	$209.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.81 / $289.37 / $904.76	Professional	TC	$220.81	$289.37	$904.76