Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $104.80 / $150.25	Professional		$92.04	$104.80	$150.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.58 / $35.36 / $51.03	Professional	26	$33.58	$35.36	$51.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.46 / $69.43 / $99.20	Professional	TC	$58.46	$69.43	$99.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $125.63 / $162.76	Professional		$125.63	$125.63	$162.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $47.93 / $47.93 / $63.75	Professional	26	$47.93	$47.93	$63.75
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $77.70 / $77.70 / $100.54	Professional	TC	$77.70	$77.70	$100.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $98.89 / $483.19	Professional		$53.71	$98.89	$483.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $36.79 / $163.09	Professional	26	$18.85	$36.79	$163.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.86 / $65.93 / $320.08	Professional	TC	$34.86	$65.93	$320.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.07 / $280.02 / $280.02	Professional		$149.07	$280.02	$280.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.65 / $92.94 / $92.94	Professional	26	$50.65	$92.94	$92.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $98.43 / $187.11 / $187.11	Professional	TC	$98.43	$187.11	$187.11
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $98.74 / $295.62	Professional		$77.52	$98.74	$295.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $37.25 / $121.01	Professional	26	$27.94	$37.25	$121.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $74.90 / $197.51	Professional	TC	$49.58	$74.90	$197.51