Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $60.01 / $60.01	Professional		$40.90	$60.01	$60.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $25.03 / $25.03	Professional	26	$18.57	$25.03	$25.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $34.97 / $34.97	Professional	TC	$22.33	$34.97	$34.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $48.12 / $48.12	Professional		$47.14	$48.12	$48.12
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $20.76 / $20.76	Professional	26	$9.44	$20.76	$20.76
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.36 / $27.36 / $37.69	Professional	TC	$27.36	$27.36	$37.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $58.18 / $137.56	Professional		$36.13	$58.18	$137.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $24.78 / $57.22	Professional	26	$15.55	$24.78	$57.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.58 / $33.40 / $80.34	Professional	TC	$20.58	$33.40	$80.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $52.22 / $52.22	Professional		$52.22	$52.22	$52.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $21.77 / $21.77	Professional	26	$21.77	$21.77	$21.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.45 / $30.45 / $30.45	Professional	TC	$30.45	$30.45	$30.45
United Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $53.51 / $131.44	Professional		$36.56	$53.51	$131.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $19.54 / $54.39	Professional	26	$15.62	$19.54	$54.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $29.61 / $77.05	Professional	TC	$22.37	$29.61	$77.05