Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $37.15 / $42.65	Professional		$29.08	$37.15	$42.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.00 / $19.32 / $19.32	Professional	26	$14.00	$19.32	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.08 / $23.32 / $23.32	Professional	TC	$15.08	$23.32	$23.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $34.03 / $34.83	Professional		$34.03	$34.03	$34.83
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $15.67 / $15.67	Professional	26	$12.92	$15.67	$15.67
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.37 / $18.37 / $21.91	Professional	TC	$18.37	$18.37	$21.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $40.36 / $97.91	Professional		$25.65	$40.36	$97.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $18.38 / $43.98	Professional	26	$11.73	$18.38	$43.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $21.99 / $53.93	Professional	TC	$13.91	$21.99	$53.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $37.22 / $37.22	Professional		$37.22	$37.22	$37.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $16.80 / $16.80	Professional	26	$16.80	$16.80	$16.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $20.43 / $20.43	Professional	TC	$20.43	$20.43	$20.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $36.93 / $93.02	Professional		$26.06	$36.93	$93.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $14.76 / $41.98	Professional	26	$11.66	$14.76	$41.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.30 / $25.47 / $51.04	Professional	TC	$14.30	$25.47	$51.04