Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $105.20 / $254.58	Professional		$92.18	$105.20	$254.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.91 / $48.07 / $473.70	Professional	26	$31.91	$48.07	$473.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.27 / $71.28 / $172.49	Professional	TC	$60.27	$71.28	$172.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $126.08 / $137.43	Professional		$125.74	$126.08	$137.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $45.99 / $45.99 / $66.41	Professional	26	$45.99	$45.99	$66.41
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $59.33 / $80.09 / $87.30	Professional	TC	$59.33	$80.09	$87.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $79.79 / $485.04	Professional		$55.37	$79.79	$485.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $34.03 / $156.41	Professional	26	$18.14	$34.03	$156.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $54.02 / $328.63	Professional	TC	$30.20	$54.02	$328.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $283.36 / $283.36	Professional		$154.01	$283.36	$283.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.93 / $89.01 / $89.01	Professional	26	$48.93	$89.01	$89.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $105.08 / $194.37 / $194.37	Professional	TC	$105.08	$194.37	$194.37
United Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $98.48 / $279.60	Professional		$90.19	$98.48	$279.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $35.22 / $111.40	Professional	26	$26.42	$35.22	$111.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $66.17 / $205.17	Professional	TC	$50.02	$66.17	$205.17