Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $467.74	Professional		$213.80	$251.19	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $33.88 / $58.88	Professional	26	$30.90	$33.88	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $218.78 / $407.38	Professional	TC	$186.21	$218.78	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $194.98 / $281.84	Professional		$34.67	$194.98	$281.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $38.90	Professional	26	$33.88	$33.88	$38.90
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $218.78 / $263.03	Professional	TC	$213.80	$218.78	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $1,258.93	Professional		$114.82	$169.82	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $158.49	Professional	26	$18.20	$24.55	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $147.91 / $1,122.02	Professional	TC	$91.20	$147.91	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $691.83	Professional		$354.81	$691.83	$691.83
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 $309.03 / $602.56 / $602.56	Professional	TC	$309.03	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $645.65	Professional		$208.93	$275.42	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $33.11 / $91.20	Professional	26	$30.20	$33.11	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $239.88 / $562.34	Professional	TC	$181.97	$239.88	$562.34