Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.23 / $275.20 / $665.98	Professional		$248.23	$275.20	$665.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.29 / $34.53 / $83.56	Professional	26	$33.29	$34.53	$83.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.94 / $240.67 / $582.41	Professional	TC	$214.94	$240.67	$582.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $315.19 / $315.19 / $343.56	Professional		$315.19	$315.19	$343.56
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $47.63 / $47.63 / $51.92	Professional	26	$47.63	$47.63	$51.92
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $267.56 / $267.56 / $291.64	Professional	TC	$267.56	$267.56	$291.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $209.03 / $1,268.80	Professional		$114.19	$209.03	$1,268.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $25.09 / $159.19	Professional	26	$18.23	$25.09	$159.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.88 / $183.94 / $1,109.60	Professional	TC	$90.88	$183.94	$1,109.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.57 / $687.52 / $687.52	Professional		$357.57	$687.52	$687.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $89.89 / $89.89	Professional	26	$48.98	$89.89	$89.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $308.58 / $597.63 / $597.63	Professional	TC	$308.58	$597.63	$597.63
United Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $272.68 / $448.71	Professional		$148.44	$272.68	$448.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $32.93 / $94.89	Professional	26	$27.72	$32.93	$94.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.14 / $239.75 / $630.91	Professional	TC	$118.14	$239.75	$630.91