Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $191.39 / $214.68	Facility	26	$79.09	$191.39	$214.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $435.74 / $663.98	Professional		$365.98	$435.74	$663.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.18 / $81.31 / $182.75	Professional	26	$78.18	$81.31	$182.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $356.65 / $830.99	Professional	TC	$284.67	$356.65	$830.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $438.58 / $487.32 / $804.08	Professional		$438.58	$487.32	$804.08
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $85.91 / $93.64	Professional	26	$77.31	$85.91	$93.64
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $361.27 / $401.41 / $437.54	Professional	TC	$361.27	$401.41	$437.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.91 / $1,121.01 / $1,943.74	Professional		$423.91	$1,121.01	$1,943.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.12 / $209.58 / $358.25	Professional	26	$90.12	$209.58	$358.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.12 / $945.03 / $1,585.49	Professional	TC	$282.12	$945.03	$1,585.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.97 / $1,057.63 / $1,057.63	Professional		$479.97	$1,057.63	$1,057.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.13 / $188.25 / $188.25	Professional	26	$85.13	$188.25	$188.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $394.83 / $869.39 / $869.39	Professional	TC	$394.83	$869.39	$869.39
United Facility/Professional Professional Modifier Low / Median / High Price $220.34 / $546.47 / $1,339.34	Professional		$220.34	$546.47	$1,339.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.51 / $114.44 / $238.39	Professional	26	$66.51	$114.44	$238.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.63 / $594.24 / $1,100.95	Professional	TC	$201.63	$594.24	$1,100.95