Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $101.03 / $215.71	Professional		$77.04	$101.03	$215.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $35.88 / $94.30	Professional	26	$26.57	$35.88	$94.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.47 / $60.79 / $147.11	Professional	TC	$50.47	$60.79	$147.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $105.42 / $114.91	Professional		$69.30	$105.42	$114.91
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $38.38 / $38.38 / $51.88	Professional	26	$38.38	$38.38	$51.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.42 / $67.04 / $73.06	Professional	TC	$17.42	$67.04	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $66.89 / $411.00	Professional		$52.34	$66.89	$411.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.29 / $32.08 / $130.74	Professional	26	$15.29	$32.08	$130.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.41 / $44.69 / $280.26	Professional	TC	$26.41	$44.69	$280.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $250.06 / $250.06	Professional		$145.88	$250.06	$250.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.26 / $75.05 / $75.05	Professional	26	$41.26	$75.05	$75.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $104.64 / $175.00 / $175.00	Professional	TC	$104.64	$175.00	$175.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $86.95 / $234.95	Professional		$64.31	$86.95	$234.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $30.00 / $62.81	Professional	26	$24.37	$30.00	$62.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.57 / $55.90 / $128.94	Professional	TC	$51.57	$55.90	$128.94