Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $77.05 / $655.20	Professional		$65.06	$77.05	$655.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $58.29 / $529.20	Professional	26	$19.98	$58.29	$529.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.09 / $54.00 / $130.68	Professional	TC	$45.09	$54.00	$130.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $88.25 / $96.19	Professional		$88.25	$88.25	$96.19
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $31.14 / $33.94	Professional	26	$31.14	$31.14	$33.94
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $57.11 / $57.11 / $62.25	Professional	TC	$57.11	$57.11	$62.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $55.44 / $355.25	Professional		$37.43	$55.44	$355.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $16.39 / $106.30	Professional	26	$11.36	$16.39	$106.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.07 / $39.04 / $248.95	Professional	TC	$26.07	$39.04	$248.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $214.25 / $214.25	Professional		$125.33	$214.25	$214.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.53 / $60.21 / $60.21	Professional	26	$33.53	$60.21	$60.21
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $91.78 / $154.06 / $154.06	Professional	TC	$91.78	$154.06	$154.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $72.51 / $226.18	Professional		$48.66	$72.51	$226.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.73 / $19.61 / $44.61	Professional	26	$13.73	$19.61	$44.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $47.32 / $102.52	Professional	TC	$33.11	$47.32	$102.52