Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $101.67 / $246.04	Professional		$86.36	$101.67	$246.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.84 / $27.00 / $65.34	Professional	26	$25.84	$27.00	$65.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.52 / $74.67 / $180.70	Professional	TC	$60.52	$74.67	$180.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $149.38	Professional		$112.32	$112.32	$149.38
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $36.90 / $49.09	Professional	26	$36.90	$36.90	$49.09
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $75.41 / $75.41 / $100.30	Professional	TC	$75.41	$75.41	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $151.32 / $468.77	Professional		$50.80	$151.32	$468.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $39.65 / $124.49	Professional	26	$14.48	$39.65	$124.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $116.04 / $344.28	Professional	TC	$36.31	$116.04	$344.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $263.50 / $263.50	Professional		$141.30	$263.50	$263.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.89 / $70.73 / $70.73	Professional	26	$38.89	$70.73	$70.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $102.41 / $192.74 / $192.74	Professional	TC	$102.41	$192.74	$192.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $81.65 / $278.17	Professional		$69.08	$81.65	$278.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.47 / $34.65 / $127.00	Professional	26	$23.47	$34.65	$127.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.18 / $63.52 / $203.49	Professional	TC	$58.18	$63.52	$203.49