Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $142.85 / $287.95	Professional		$120.09	$142.85	$287.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $62.97 / $304.32	Professional	26	$53.80	$62.97	$304.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.29 / $85.79 / $157.15	Professional	TC	$66.29	$85.79	$157.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $150.88 / $200.67	Professional		$150.88	$150.88	$200.67
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $62.53 / $86.17	Professional	26	$59.11	$62.53	$86.17
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $88.35 / $95.21 / $117.50	Professional	TC	$88.35	$95.21	$117.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $97.81 / $658.63	Professional		$79.52	$97.81	$658.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $42.46 / $263.08	Professional	26	$30.59	$42.46	$263.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.06 / $54.17 / $395.55	Professional	TC	$37.06	$54.17	$395.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.88 / $392.11 / $392.11	Professional		$220.88	$392.11	$392.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.57 / $150.19 / $150.19	Professional	26	$82.57	$150.19	$150.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $138.31 / $241.91 / $241.91	Professional	TC	$138.31	$241.91	$241.91
United Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $119.34 / $413.94	Professional		$94.41	$119.34	$413.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $49.94 / $146.90	Professional	26	$49.06	$49.94	$146.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $66.19 / $255.38	Professional	TC	$50.02	$66.19	$255.38