Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $426.58	Professional		$63.10	$100.00	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $97.72 / $354.81	Professional	26	$22.91	$97.72	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $70.79 / $758.58	Professional	TC	$50.12	$70.79	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $81.28 / $114.82	Professional		$13.80	$81.28	$114.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $32.36 / $50.12	Professional	26	$28.84	$32.36	$50.12
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $74.13 / $109.65	Professional	TC	$72.44	$74.13	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $407.38	Professional		$52.48	$67.61	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.70 / $131.83	Professional	26	$15.14	$25.70	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $43.65 / $281.84	Professional	TC	$26.30	$43.65	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $251.19	Professional		$144.54	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $75.86 / $75.86	Professional	26	$40.74	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $173.78 / $173.78	Professional	TC	$104.71	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $234.42	Professional		$69.18	$83.18	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $26.30 / $70.79	Professional	26	$23.99	$26.30	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $56.23 / $165.96	Professional	TC	$45.71	$56.23	$165.96