Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $83.21 / $230.10	Professional		$54.42	$83.21	$230.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $34.06 / $808.58	Professional	26	$28.70	$34.06	$808.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.21 / $31.21 / $31.21	Professional	52	$27.21	$31.21	$31.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $32.09 / $74.76	Professional	TC	$25.72	$32.09	$74.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $71.44 / $95.02	Professional		$71.44	$71.44	$95.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $41.49 / $55.18	Professional	26	$41.49	$41.49	$55.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $29.95 / $39.83	Professional	TC	$29.95	$29.95	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $61.36 / $287.73	Professional		$33.17	$61.36	$287.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $23.24 / $139.77	Professional	26	$16.35	$23.24	$139.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $38.13 / $147.96	Professional	TC	$16.82	$38.13	$147.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $166.52 / $166.52	Professional		$91.55	$166.52	$166.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.11 / $80.23 / $80.23	Professional	26	$44.11	$80.23	$80.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $47.44 / $86.29 / $86.29	Professional	TC	$47.44	$86.29	$86.29
United Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $53.71 / $175.79	Professional		$42.88	$53.71	$175.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $28.21 / $78.09	Professional	26	$23.61	$28.21	$78.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $25.95 / $81.06	Professional	TC	$19.27	$25.95	$81.06