Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.78 / $382.29 / $382.29	Professional		$331.78	$382.29	$382.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.94 / $39.19 / $95.90	Professional	26	$36.94	$39.19	$95.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $294.85 / $343.10 / $343.10	Professional	TC	$294.85	$343.10	$343.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $445.17 / $482.98 / $526.45	Professional		$445.17	$482.98	$526.45
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $40.83 / $42.56 / $46.39	Professional	26	$40.83	$42.56	$46.39
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $440.42 / $440.42 / $480.06	Professional	TC	$440.42	$440.42	$480.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $331.65 / $1,762.58	Professional		$190.10	$331.65	$1,762.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $28.59 / $180.68	Professional	26	$21.35	$28.59	$180.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.75 / $304.67 / $1,581.89	Professional	TC	$168.75	$304.67	$1,581.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.13 / $1,005.43 / $1,005.43	Professional		$534.13	$1,005.43	$1,005.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.48 / $103.75 / $103.75	Professional	26	$57.48	$103.75	$103.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $476.64 / $901.69 / $901.69	Professional	TC	$476.64	$901.69	$901.69
United Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $360.32 / $1,186.42	Professional		$270.24	$360.32	$1,186.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.58 / $33.58 / $103.60	Professional	26	$33.58	$33.58	$103.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $292.69 / $362.93 / $951.89	Professional	TC	$292.69	$362.93	$951.89