Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $74.33 / $130.22	Professional		$61.53	$74.33	$130.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $10.58 / $76.31	Professional	26	$9.26	$10.58	$76.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.27 / $64.48 / $112.12	Professional	TC	$52.27	$64.48	$112.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $73.41 / $80.02	Professional		$31.76	$73.41	$80.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $13.48 / $16.63	Professional	26	$13.48	$13.48	$16.63
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.25 / $59.93 / $65.31	Professional	TC	$19.25	$59.93	$65.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $48.97 / $342.70	Professional		$34.72	$48.97	$342.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.32 / $7.31 / $45.37	Professional	26	$5.32	$7.31	$45.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.41 / $42.28 / $297.33	Professional	TC	$27.41	$42.28	$297.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $198.62 / $198.62	Professional		$107.86	$198.62	$198.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $26.02 / $26.02	Professional	26	$14.31	$26.02	$26.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $93.55 / $172.58 / $172.58	Professional	TC	$93.55	$172.58	$172.58
United Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $55.71 / $144.93	Professional		$51.90	$55.71	$144.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $9.07 / $24.79	Professional	26	$7.58	$9.07	$24.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.76 / $47.34 / $120.14	Professional	TC	$38.76	$47.34	$120.14