Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $98.12 / $138.38	Professional		$88.36	$98.12	$138.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $53.23 / $74.23	Professional	TC	$46.77	$53.23	$74.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $101.07 / $126.34	Professional		$90.97	$101.07	$126.34
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $53.12 / $59.03 / $73.79	Professional	TC	$53.12	$59.03	$73.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $134.03 / $260.58	Professional		$78.81	$134.03	$260.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $71.84 / $138.33	Professional	TC	$35.11	$71.84	$138.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $103.24 / $137.10	Professional		$68.55	$103.24	$137.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.92 / $49.74 / $67.83	Professional	26	$33.92	$49.74	$67.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.07 / $50.88 / $69.27	Professional	TC	$33.07	$50.88	$69.27
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $108.39 / $192.02	Professional		$70.88	$108.39	$192.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $54.91 / $98.98	Professional	TC	$31.04	$54.91	$98.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $104.65 / $130.82	Professional		$79.02	$104.65	$130.82
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $39.93 / $52.02 / $65.03	Professional	TC	$39.93	$52.02	$65.03