Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $302.00	Professional		$91.20	$104.71	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $234.42 / $588.84	Professional	26	$33.11	$234.42	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $70.79 / $234.42	Professional	TC	$60.26	$70.79	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $107.15 / $125.89	Professional		$34.67	$107.15	$125.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $51.29 / $66.07	Professional	26	$33.88	$51.29	$66.07
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $89.13	Professional	TC	$52.48	$74.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $489.78	Professional		$54.95	$79.43	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $30.20 / $154.88	Professional	26	$18.20	$30.20	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $48.98 / $331.13	Professional	TC	$30.20	$48.98	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $281.84	Professional		$158.49	$281.84	$281.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $89.13 / $89.13	Professional	26	$48.98	$89.13	$89.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $194.98 / $194.98	Professional	TC	$109.65	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $281.84	Professional		$81.28	$97.72	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $31.62 / $112.20	Professional	26	$28.84	$31.62	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $66.07 / $181.97	Professional	TC	$53.70	$66.07	$181.97