Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $88.72 / $214.70	Professional		$78.36	$88.72	$214.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.48 / $64.19 / $406.14	Professional	26	$47.48	$64.19	$406.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.88 / $37.96 / $91.86	Professional	TC	$30.88	$37.96	$91.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $107.62 / $143.13	Professional		$107.62	$107.62	$143.13
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.11 / $69.11 / $91.92	Professional	26	$69.11	$69.11	$91.92
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.51 / $38.51 / $42.45	Professional	TC	$38.51	$38.51	$42.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $59.01 / $409.06	Professional		$46.48	$59.01	$409.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.31 / $36.72 / $234.07	Professional	26	$27.31	$36.72	$234.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $23.02 / $174.99	Professional	TC	$14.68	$23.02	$174.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $233.46 / $233.46	Professional		$127.90	$233.46	$233.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.81 / $133.47 / $133.47	Professional	26	$73.81	$133.47	$133.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $54.08 / $99.99 / $99.99	Professional	TC	$54.08	$99.99	$99.99
United Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $74.87 / $246.46	Professional		$60.20	$74.87	$246.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $47.07 / $140.90	Professional	26	$39.19	$47.07	$140.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $29.93 / $93.95	Professional	TC	$21.01	$29.93	$93.95