Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $29.72 / $69.23	Professional		$24.02	$29.72	$69.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.26 / $5.87 / $17.19	Professional	26	$5.26	$5.87	$17.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.76 / $24.07 / $56.08	Professional	TC	$18.76	$24.07	$56.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $31.19 / $38.11	Professional		$31.19	$31.19	$38.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $7.76 / $10.32	Professional	26	$7.76	$7.76	$10.32
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.43 / $23.43 / $29.95	Professional	TC	$23.43	$23.43	$29.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $27.50 / $137.04	Professional		$15.65	$27.50	$137.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.06 / $4.19 / $26.06	Professional	26	$3.06	$4.19	$26.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $23.33 / $110.98	Professional	TC	$12.59	$23.33	$110.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $79.44 / $79.44	Professional		$43.67	$79.44	$79.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $14.92 / $14.92	Professional	26	$8.21	$14.92	$14.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $64.50 / $64.50	Professional	TC	$35.47	$64.50	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $23.65 / $65.95	Professional		$18.84	$23.65	$65.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.33 / $5.78 / $14.72	Professional	26	$4.33	$5.78	$14.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $19.20 / $68.11	Professional	TC	$14.51	$19.20	$68.11