Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $117.49 / $371.54	Professional		$30.90	$117.49	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $41.69 / $89.13	Professional	26	$7.94	$41.69	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $25.12 / $223.87	Professional	TC	$4.37	$25.12	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $89.13	Professional		$26.92	$43.65	$89.13
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.47 / $14.13	Professional	26	$9.33	$10.47	$14.13
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $43.65	Professional	TC	$19.95	$29.51	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $177.83	Professional		$19.95	$26.92	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $6.61 / $42.66	Professional	26	$5.01	$6.61	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $20.42 / $134.90	Professional	TC	$14.79	$20.42	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $102.33	Professional		$54.95	$102.33	$102.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $24.55 / $24.55	Professional	26	$12.88	$24.55	$24.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $77.62 / $77.62	Professional	TC	$41.69	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $95.50	Professional		$26.92	$32.36	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.51 / $23.44	Professional	26	$7.76	$8.51	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.99 / $72.44	Professional	TC	$19.50	$23.99	$72.44