Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $68.66 / $68.66	Professional		$56.18	$68.66	$68.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.37 / $20.83 / $20.83	Professional	26	$19.37	$20.83	$20.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.81 / $47.83 / $47.83	Professional	TC	$36.81	$47.83	$47.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $65.31 / $75.64	Professional		$54.67	$65.31	$75.64
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $22.48 / $29.90	Professional	26	$21.37	$22.48	$29.90
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $42.83 / $54.26	Professional	TC	$29.00	$42.83	$54.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $47.75 / $316.57	Professional		$32.90	$47.75	$316.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.25 / $96.03	Professional	26	$11.22	$15.25	$96.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $33.83 / $220.53	Professional	TC	$17.64	$33.83	$220.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $192.19 / $192.19	Professional		$109.20	$192.19	$192.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $54.29 / $54.29	Professional	26	$30.29	$54.29	$54.29
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $78.91 / $137.88 / $137.88	Professional	TC	$78.91	$137.88	$137.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $49.19 / $126.29	Professional		$45.48	$49.19	$126.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.81 / $18.89 / $57.32	Professional	26	$15.81	$18.89	$57.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $34.39 / $74.48	Professional	TC	$25.98	$34.39	$74.48