Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $407.00 / $712.65	Professional		$298.66	$407.00	$712.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.84 / $344.67 / $524.07	Professional	TC	$249.84	$344.67	$524.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $419.57 / $499.29	Professional		$377.61	$419.57	$499.29
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $329.28 / $365.86 / $435.37	Professional	TC	$329.28	$365.86	$435.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.42 / $522.69 / $1,093.08	Professional		$302.42	$522.69	$1,093.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.68 / $457.55 / $949.87	Professional	TC	$266.68	$457.55	$949.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.42 / $478.27 / $652.19	Professional		$310.42	$478.27	$652.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.12 / $61.78 / $84.24	Professional	26	$42.12	$61.78	$84.24
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $271.89 / $418.31 / $567.95	Professional	TC	$271.89	$418.31	$567.95
United Facility/Professional Professional Modifier Low / Median / High Price $200.96 / $385.74 / $767.27	Professional		$200.96	$385.74	$767.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.46 / $332.86 / $655.15	Professional	TC	$157.46	$332.86	$655.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $493.06 / $616.32	Professional		$300.39	$493.06	$616.32
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $261.58 / $427.82 / $534.78	Professional	TC	$261.58	$427.82	$534.78