Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $59.02 / $118.57	Professional		$49.15	$59.02	$118.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $18.29 / $42.61	Professional	26	$17.23	$18.29	$42.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.91 / $40.72 / $94.90	Professional	TC	$31.91	$40.72	$94.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $72.80 / $96.82	Professional		$71.77	$72.80	$96.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $23.81 / $25.05 / $34.15	Professional	26	$23.81	$25.05	$34.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $47.75 / $63.51	Professional	TC	$44.75	$47.75	$63.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $49.87 / $272.14	Professional		$32.65	$49.87	$272.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $17.16 / $84.34	Professional	26	$9.86	$17.16	$84.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $34.02 / $187.80	Professional	TC	$22.79	$34.02	$187.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $162.09 / $162.09	Professional		$90.88	$162.09	$162.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.60 / $48.40 / $48.40	Professional	26	$26.60	$48.40	$48.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $64.29 / $113.71 / $113.71	Professional	TC	$64.29	$113.71	$113.71
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $50.53 / $171.75	Professional		$37.90	$50.53	$171.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $16.85 / $51.09	Professional	26	$14.08	$16.85	$51.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $31.76 / $124.95	Professional	TC	$23.82	$31.76	$124.95