Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $67.12 / $162.43	Professional		$54.63	$67.12	$162.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $21.14 / $51.15	Professional	26	$19.63	$21.14	$51.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.00 / $45.98 / $111.27	Professional	TC	$35.00	$45.98	$111.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $69.37 / $75.61	Professional		$50.39	$69.37	$75.61
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $22.82 / $30.35	Professional	26	$21.69	$22.82	$30.35
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $24.72 / $46.55 / $52.36	Professional	TC	$24.72	$46.55	$52.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $46.77 / $309.45	Professional		$30.29	$46.77	$309.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $15.25 / $97.45	Professional	26	$11.38	$15.25	$97.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $32.65 / $212.00	Professional	TC	$15.04	$32.65	$212.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $188.15 / $188.15	Professional		$108.32	$188.15	$188.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $55.11 / $55.11	Professional	26	$30.74	$55.11	$55.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $77.58 / $133.04 / $133.04	Professional	TC	$77.58	$133.04	$133.04
United Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $55.58 / $198.62	Professional		$43.52	$55.58	$198.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $19.48 / $54.20	Professional	26	$17.98	$19.48	$54.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $33.32 / $84.91	Professional	TC	$27.28	$33.32	$84.91