Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.03 / $260.23 / $629.75	Professional		$218.03	$260.23	$629.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.06 / $84.36 / $548.27	Professional	26	$63.06	$84.36	$548.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.06 / $192.86 / $466.72	Professional	TC	$152.06	$192.86	$466.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.25 / $285.06 / $310.72	Professional		$223.25	$285.06	$310.72
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $91.87 / $91.87 / $122.19	Professional	26	$91.87	$91.87	$122.19
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $59.29 / $193.19 / $210.58	Professional	TC	$59.29	$193.19	$210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $180.08 / $1,199.80	Professional		$108.53	$180.08	$1,199.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $48.73 / $310.63	Professional	26	$35.95	$48.73	$310.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.79 / $128.99 / $889.17	Professional	TC	$59.79	$128.99	$889.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $682.21 / $682.21	Professional		$373.28	$682.21	$682.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.07 / $176.58 / $176.58	Professional	26	$97.07	$176.58	$176.58
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $276.20 / $505.63 / $505.63	Professional	TC	$276.20	$505.63	$505.63
United Facility/Professional Professional Modifier Low / Median / High Price $200.38 / $217.07 / $628.62	Professional		$200.38	$217.07	$628.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.57 / $57.57 / $172.12	Professional	26	$57.57	$57.57	$172.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.93 / $155.90 / $533.79	Professional	TC	$116.93	$155.90	$533.79