Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $239.88	Professional		$74.13	$81.28	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $316.23 / $758.58	Professional	26	$54.95	$316.23	$758.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $257.04	Professional	TC	$28.84	$37.15	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $158.49	Professional		$42.66	$89.13	$158.49
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $57.54 / $162.18	Professional	26	$52.48	$57.54	$162.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $38.02 / $56.23	Professional	TC	$38.02	$38.02	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $407.38	Professional		$46.77	$58.88	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $234.42	Professional	26	$27.54	$36.31	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $22.91 / $173.78	Professional	TC	$14.79	$22.91	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $234.42	Professional		$125.89	$234.42	$234.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $134.90 / $134.90	Professional	26	$72.44	$134.90	$134.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $100.00 / $100.00	Professional	TC	$53.70	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $218.78	Professional		$64.57	$74.13	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $46.77 / $128.82	Professional	26	$42.66	$46.77	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $93.33	Professional	TC	$22.39	$27.54	$93.33