Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $181.97	Professional		$144.54	$162.18	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.05 / $138.04	Professional	26	$18.20	$19.05	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $144.54 / $162.18	Professional	TC	$125.89	$144.54	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $181.97 / $245.47	Professional		$19.50	$181.97	$245.47
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.38 / $56.23	Professional	26	$19.05	$21.38	$56.23
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $177.83 / $239.88	Professional	TC	$158.49	$177.83	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $851.14	Professional		$74.13	$120.23	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $29.51 / $89.13	Professional	26	$10.23	$29.51	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $97.72 / $758.58	Professional	TC	$58.88	$97.72	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $478.63	Professional		$251.19	$478.63	$478.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $50.12 / $50.12	Professional	26	$27.54	$50.12	$50.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $436.52 / $436.52	Professional	TC	$223.87	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $457.09	Professional		$114.82	$144.54	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $18.62 / $112.20	Professional	26	$16.98	$18.62	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $125.89 / $407.38	Professional	TC	$79.43	$125.89	$407.38