Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.24 / $358.78 / $868.24	Professional		$308.24	$358.78	$868.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.02 / $51.46 / $124.53	Professional	26	$49.02	$51.46	$124.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.22 / $307.32 / $743.71	Professional	TC	$259.22	$307.32	$743.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.69 / $392.69 / $428.03	Professional		$392.69	$392.69	$428.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.93 / $69.93 / $76.22	Professional	26	$69.93	$69.93	$76.22
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $322.76 / $322.76 / $351.81	Professional	TC	$322.76	$322.76	$351.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $247.61 / $1,654.17	Professional		$118.30	$247.61	$1,654.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $36.33 / $237.27	Professional	26	$28.19	$36.33	$237.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.56 / $190.95 / $1,416.90	Professional	TC	$84.56	$190.95	$1,416.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.61 / $943.72 / $943.72	Professional		$508.61	$943.72	$943.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.88 / $136.41 / $136.41	Professional	26	$75.88	$136.41	$136.41
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $432.73 / $807.31 / $807.31	Professional	TC	$432.73	$807.31	$807.31
United Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $378.00 / $464.76	Professional		$247.07	$378.00	$464.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $44.25 / $132.40	Professional	26	$40.50	$44.25	$132.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.93 / $273.27 / $852.26	Professional	TC	$109.93	$273.27	$852.26