Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $105.24 / $116.05	Professional		$100.21	$105.24	$116.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.05 / $72.41 / $84.60	Professional	26	$70.05	$72.41	$84.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $32.83 / $32.83	Professional	TC	$26.09	$32.83	$32.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $130.87 / $130.87	Professional		$124.37	$130.87	$130.87
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $87.48 / $96.98 / $96.98	Professional	26	$87.48	$96.98	$96.98
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $33.90 / $33.90 / $36.89	Professional	TC	$33.90	$33.90	$36.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $112.93 / $322.39	Professional		$86.62	$112.93	$322.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.31 / $85.64 / $217.74	Professional	26	$62.31	$85.64	$217.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $29.85 / $104.64	Professional	TC	$21.46	$29.85	$104.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $114.50 / $114.50	Professional		$114.50	$114.50	$114.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $80.95 / $80.95	Professional	26	$80.95	$80.95	$80.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $33.54 / $33.54	Professional	TC	$33.54	$33.54	$33.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $99.82 / $293.95	Professional		$75.22	$99.82	$293.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.00 / $73.43 / $214.20	Professional	26	$56.00	$73.43	$214.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.01 / $31.64 / $90.23	Professional	TC	$15.01	$31.64	$90.23