Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $67.61	Professional		$54.95	$57.54	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.95 / $23.44	Professional	26	$18.20	$19.95	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $37.15 / $46.77	Professional	TC	$36.31	$37.15	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $75.86	Professional		$28.18	$60.26	$75.86
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $20.89 / $25.70	Professional	26	$18.62	$20.89	$25.70
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $48.98 / $48.98	Professional	TC	$24.55	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $316.23	Professional		$33.11	$42.66	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $95.50	Professional	26	$11.22	$14.45	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $30.90 / $218.78	Professional	TC	$17.78	$30.90	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $190.55	Professional		$109.65	$190.55	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $53.70 / $53.70	Professional	26	$30.20	$53.70	$53.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $138.04 / $138.04	Professional	TC	$79.43	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $181.97	Professional		$44.67	$53.70	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.05 / $51.29	Professional	26	$16.98	$19.05	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $34.67 / $128.82	Professional	TC	$28.18	$34.67	$128.82