Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $245.47	Professional		$48.98	$58.88	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $30.90 / $144.54	Professional	26	$6.03	$30.90	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $177.83	Professional	TC	$28.84	$36.31	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $107.15	Professional		$42.66	$61.66	$107.15
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $25.70 / $70.79	Professional	26	$22.91	$25.70	$70.79
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $38.02 / $56.23	Professional	TC	$38.02	$38.02	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $63.10 / $275.42	Professional		$31.62	$63.10	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $31.62 / $102.33	Professional	26	$12.02	$31.62	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.90 / $169.82	Professional	TC	$19.50	$30.90	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $158.49	Professional		$87.10	$158.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $58.88 / $58.88	Professional	26	$32.36	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $100.00 / $100.00	Professional	TC	$53.70	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $151.36	Professional		$44.67	$52.48	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $20.89 / $57.54	Professional	26	$18.62	$20.89	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $31.62 / $93.33	Professional	TC	$25.70	$31.62	$93.33