Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.99 / $449.03 / $545.03	Professional		$290.99	$449.03	$545.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.27 / $44.28 / $47.33	Professional	26	$34.27	$44.28	$47.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.72 / $403.09 / $497.70	Professional	TC	$256.72	$403.09	$497.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $522.41 / $617.51 / $784.24	Professional		$522.41	$617.51	$784.24
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $51.47 / $64.34	Professional	26	$48.94	$51.47	$64.34
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $463.66 / $566.04 / $707.55	Professional	TC	$463.66	$566.04	$707.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $352.11 / $933.78	Professional		$262.30	$352.11	$933.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.57 / $32.86 / $88.81	Professional	26	$25.57	$32.86	$88.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.73 / $317.98 / $838.46	Professional	TC	$236.73	$317.98	$838.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.88 / $699.46 / $929.91	Professional		$582.88	$699.46	$929.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.83 / $68.20 / $86.87	Professional	26	$56.83	$68.20	$86.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $526.05 / $631.27 / $843.06	Professional	TC	$526.05	$631.27	$843.06
United Facility/Professional Professional Modifier Low / Median / High Price $329.71 / $471.47 / $1,307.45	Professional		$329.71	$471.47	$1,307.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.18 / $47.66 / $116.98	Professional	26	$35.18	$47.66	$116.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $293.44 / $423.25 / $952.32	Professional	TC	$293.44	$423.25	$952.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $527.70 / $737.52 / $833.72	Professional		$527.70	$737.52	$833.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $50.08 / $68.90 / $83.04	Professional	26	$50.08	$68.90	$83.04
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $477.62 / $668.63 / $755.85	Professional	TC	$477.62	$668.63	$755.85