Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $202.91 / $202.91	Professional		$188.51	$202.91	$202.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.28 / $99.53 / $99.53	Professional	26	$99.28	$99.53	$99.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.23 / $103.38 / $103.38	Professional	TC	$89.23	$103.38	$103.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $253.39 / $276.20	Professional		$185.94	$253.39	$276.20
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $114.35 / $142.01 / $154.79	Professional	26	$114.35	$142.01	$154.79
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $80.37 / $111.38 / $121.40	Professional	TC	$80.37	$111.38	$121.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $162.55 / $935.53	Professional		$108.93	$162.55	$935.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.06 / $91.92 / $458.89	Professional	26	$53.06	$91.92	$458.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.23 / $89.62 / $476.63	Professional	TC	$50.23	$89.62	$476.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.82 / $543.73 / $543.73	Professional		$299.82	$543.73	$543.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $142.44 / $260.70 / $260.70	Professional	26	$142.44	$260.70	$260.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $157.37 / $282.99 / $282.99	Professional	TC	$157.37	$282.99	$282.99
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $192.29 / $594.96	Professional		$144.22	$192.29	$594.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.34 / $95.03 / $275.23	Professional	26	$80.34	$95.03	$275.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $85.18 / $325.98	Professional	TC	$63.88	$85.18	$325.98