Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $104.68 / $114.24	Professional		$77.42	$104.68	$114.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $17.14 / $17.30	Professional	26	$16.60	$17.14	$17.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $88.08 / $97.09	Professional	TC	$60.10	$88.08	$97.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $129.61 / $196.37	Professional		$83.10	$129.61	$196.37
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $20.02 / $21.82	Professional	26	$18.02	$20.02	$21.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $63.08 / $99.59 / $109.59	Professional	TC	$63.08	$99.59	$109.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $109.63 / $486.13	Professional		$69.44	$109.63	$486.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $26.05 / $73.20	Professional	26	$15.93	$26.05	$73.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.20 / $88.73 / $412.93	Professional	TC	$48.20	$88.73	$412.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $137.69 / $281.98	Professional		$118.91	$137.69	$281.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $21.91 / $42.46	Professional	26	$18.92	$21.91	$42.46
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $99.99 / $115.78 / $239.53	Professional	TC	$99.99	$115.78	$239.53
United Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $110.43 / $357.30	Professional		$61.94	$110.43	$357.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $25.80 / $53.81	Professional	26	$14.69	$25.80	$53.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.38 / $88.85 / $303.49	Professional	TC	$47.38	$88.85	$303.49