Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $48.15 / $65.72	Professional		$41.72	$48.15	$65.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $29.01 / $128.24	Professional	26	$27.08	$29.01	$128.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.64 / $19.13 / $26.79	Professional	TC	$14.64	$19.13	$26.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $50.96 / $67.78	Professional		$50.52	$50.96	$67.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $29.89 / $31.44 / $41.82	Professional	26	$29.89	$31.44	$41.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $20.62 / $25.96	Professional	TC	$19.52	$20.62	$25.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $33.61 / $221.99	Professional		$26.00	$33.61	$221.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $21.02 / $133.77	Professional	26	$15.61	$21.02	$133.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.39 / $12.87 / $88.22	Professional	TC	$10.39	$12.87	$88.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $128.37 / $128.37	Professional		$71.45	$128.37	$128.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.19 / $75.94 / $75.94	Professional	26	$42.19	$75.94	$75.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $52.40 / $52.40	Professional	TC	$29.26	$52.40	$52.40
United Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $42.50 / $135.51	Professional		$34.21	$42.50	$135.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.94 / $24.94 / $73.90	Professional	26	$24.94	$24.94	$73.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $15.48 / $55.34	Professional	TC	$11.69	$15.48	$55.34