Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $25.16 / $26.41	Professional		$22.11	$25.16	$26.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.70 / $17.76 / $19.85	Professional	26	$16.70	$17.76	$19.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.41 / $7.41 / $7.41	Professional	TC	$5.41	$7.41	$7.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $26.64 / $29.04	Professional		$26.42	$26.64	$29.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $19.46 / $21.21	Professional	26	$18.48	$19.46	$21.21
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $7.18 / $7.18 / $7.94	Professional	TC	$7.18	$7.18	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.67 / $116.01	Professional		$13.64	$17.67	$116.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $12.90 / $81.86	Professional	26	$9.56	$12.90	$81.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.91 / $4.93 / $34.14	Professional	TC	$3.91	$4.93	$34.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $67.12 / $67.12	Professional		$37.34	$67.12	$67.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $46.96 / $46.96	Professional	26	$25.82	$46.96	$46.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $11.52 / $20.16 / $20.16	Professional	TC	$11.52	$20.16	$20.16
United Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $22.38 / $70.86	Professional		$18.19	$22.38	$70.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $0.02 / $15.56 / $45.41	Professional	26	$0.02	$15.56	$45.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.33 / $5.78 / $21.29	Professional	TC	$4.33	$5.78	$21.29