Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $380.19	Professional		$302.00	$338.84	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.90 / $158.49	Professional	26	$36.31	$38.90	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $302.00 / $346.74	Professional	TC	$263.03	$302.00	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $426.58	Professional		$331.13	$371.54	$426.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $39.81 / $45.71	Professional	26	$36.31	$39.81	$45.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $371.54 / $407.38	Professional	TC	$338.84	$371.54	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $1,778.28	Professional		$190.55	$331.13	$1,778.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $181.97	Professional	26	$21.38	$28.18	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $302.00 / $1,584.89	Professional	TC	$169.82	$302.00	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $1,000.00	Professional		$524.81	$1,000.00	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $104.71 / $104.71	Professional	26	$56.23	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $912.01 / $912.01	Professional	TC	$467.74	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $1,174.90	Professional		$288.40	$380.19	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $36.31 / $104.71	Professional	26	$33.11	$36.31	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $1,071.52	Professional	TC	$257.04	$338.84	$1,071.52