Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $109.65	Professional		$22.91	$28.84	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $17.78 / $43.65	Professional	26	$5.01	$17.78	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $20.89 / $63.10	Professional	TC	$18.20	$20.89	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $30.90 / $38.02	Professional		$6.46	$30.90	$38.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $5.75 / $22.91	Professional	26	$5.75	$5.75	$22.91
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $25.12 / $30.20	Professional	TC	$13.80	$25.12	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $138.04	Professional		$15.49	$19.50	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $4.17 / $26.30	Professional	26	$3.09	$4.17	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $15.85 / $112.20	Professional	TC	$12.59	$15.85	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $79.43	Professional		$43.65	$79.43	$79.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.79 / $14.79	Professional	26	$8.32	$14.79	$14.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $64.57 / $64.57	Professional	TC	$35.48	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $74.13	Professional		$20.42	$24.55	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $5.25 / $14.79	Professional	26	$4.68	$5.25	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.05 / $60.26	Professional	TC	$15.49	$19.05	$60.26