Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.81 / $545.03 / $545.03	Professional		$470.81	$545.03	$545.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.66 / $47.33 / $61.78	Professional	26	$44.66	$47.33	$61.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $426.15 / $497.70 / $497.70	Professional	TC	$426.15	$497.70	$497.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.12 / $617.51 / $673.09	Professional		$616.12	$617.51	$673.09
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $49.00 / $51.47 / $56.10	Professional	26	$49.00	$51.47	$56.10
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $561.00 / $566.04 / $616.98	Professional	TC	$561.00	$566.04	$616.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $612.67 / $2,512.88	Professional		$288.60	$612.67	$2,512.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $65.59 / $218.23	Professional	26	$26.96	$65.59	$218.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.64 / $547.08 / $2,294.65	Professional	TC	$261.64	$547.08	$2,294.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.52 / $1,391.55 / $1,391.55	Professional		$737.52	$1,391.55	$1,391.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.90 / $124.50 / $124.50	Professional	26	$68.90	$124.50	$124.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $668.63 / $1,267.04 / $1,267.04	Professional	TC	$668.63	$1,267.04	$1,267.04
United Facility/Professional Professional Modifier Low / Median / High Price $427.33 / $471.47 / $1,371.01	Professional		$427.33	$471.47	$1,371.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $48.22 / $120.01	Professional	26	$36.15	$48.22	$120.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.44 / $423.25 / $1,337.59	Professional	TC	$317.44	$423.25	$1,337.59