Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $61.32 / $78.48	Professional		$51.35	$61.32	$78.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.99 / $22.13 / $28.32	Professional	26	$20.99	$22.13	$28.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.36 / $39.19 / $50.16	Professional	TC	$30.36	$39.19	$50.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $64.62 / $70.44	Professional		$52.30	$64.62	$70.44
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $23.38 / $24.22 / $28.86	Professional	26	$23.38	$24.22	$28.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $40.39 / $46.65	Professional	TC	$23.45	$40.39	$46.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $44.33 / $282.74	Professional		$31.96	$44.33	$282.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.27 / $17.16 / $102.03	Professional	26	$12.27	$17.16	$102.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $28.52 / $180.70	Professional	TC	$14.80	$28.52	$180.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $177.92 / $177.92	Professional		$103.58	$177.92	$177.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $59.40 / $59.40	Professional	26	$33.10	$59.40	$59.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $70.48 / $118.53 / $118.53	Professional	TC	$70.48	$118.53	$118.53
United Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $53.05 / $160.13	Professional		$34.28	$53.05	$160.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.35 / $62.70 / $111.35	Professional	26	$19.35	$62.70	$111.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.62 / $29.62 / $100.12	Professional	TC	$29.62	$29.62	$100.12