Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.15 / $109.15 / $109.15	Facility	26	$109.15	$109.15	$109.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $348.98 / $442.35 / $444.42	Professional	TC	$348.98	$442.35	$444.42
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $394.88 / $438.76 / $478.25	Professional	TC	$394.88	$438.76	$478.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $422.95 / $1,038.40 / $1,920.72	Professional	TC	$422.95	$1,038.40	$1,920.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $118.07 / $259.14 / $259.14	Professional	26	$118.07	$259.14	$259.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $478.34 / $1,070.20 / $1,070.20	Professional	TC	$478.34	$1,070.20	$1,070.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $326.91 / $926.24 / $1,355.24	Professional	TC	$326.91	$926.24	$1,355.24