Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $107.51 / $354.38	Professional		$85.87	$107.51	$354.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $24.16 / $123.90	Professional	26	$20.19	$24.16	$123.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.68 / $79.61 / $137.72	Professional	TC	$65.68	$79.61	$137.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $100.04 / $133.05	Professional		$100.04	$100.04	$133.05
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $29.13 / $29.13 / $38.74	Professional	26	$29.13	$29.13	$38.74
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.79 / $70.91 / $77.29	Professional	TC	$29.79	$70.91	$77.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $66.22 / $466.60	Professional		$47.25	$66.22	$466.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $16.52 / $99.56	Professional	26	$11.66	$16.52	$99.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $51.55 / $367.04	Professional	TC	$30.73	$51.55	$367.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $267.64 / $267.64	Professional		$145.80	$267.64	$267.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.42 / $57.16 / $57.16	Professional	26	$31.42	$57.16	$57.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $114.38 / $210.49 / $210.49	Professional	TC	$114.38	$210.49	$210.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $85.75 / $251.47	Professional		$64.31	$85.75	$251.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $19.89 / $56.21	Professional	26	$18.36	$19.89	$56.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $58.18 / $149.77	Professional	TC	$47.64	$58.18	$149.77