Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $954.99	Professional		$218.78	$398.11	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $181.97 / $346.74	Professional	26	$37.15	$181.97	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $208.93 / $645.65	Professional	TC	$114.82	$208.93	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $363.08	Professional		$173.78	$331.13	$363.08
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $208.93 / $257.04	Professional	26	$208.93	$208.93	$257.04
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $177.83 / $194.98	Professional	TC	$162.18	$177.83	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $851.14	Professional		$467.74	$467.74	$851.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $208.93 / $380.19	Professional	26	$208.93	$208.93	$380.19
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $467.74	Professional	TC	$257.04	$257.04	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $1,412.54	Professional		$223.87	$288.40	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $131.83 / $380.19	Professional	26	$120.23	$131.83	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $158.49 / $1,047.13	Professional	TC	$104.71	$158.49	$1,047.13