Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $48.38 / $135.60	Professional		$31.61	$48.38	$135.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $9.98 / $50.06	Professional	26	$8.72	$9.98	$50.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $29.01 / $67.59	Professional	TC	$22.89	$29.01	$67.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $41.32 / $54.96	Professional		$41.32	$41.32	$54.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $12.75 / $29.94	Professional	26	$12.75	$12.75	$29.94
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $28.57 / $38.00	Professional	TC	$28.57	$28.57	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $36.15 / $176.63	Professional		$19.97	$36.15	$176.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.03 / $6.75 / $42.89	Professional	26	$5.03	$6.75	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.94 / $29.48 / $133.74	Professional	TC	$14.94	$29.48	$133.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $102.00 / $102.00	Professional		$55.64	$102.00	$102.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $24.60 / $24.60	Professional	26	$13.52	$24.60	$24.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.11 / $77.41 / $77.41	Professional	TC	$42.11	$77.41	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $33.95 / $94.69	Professional		$29.87	$33.95	$94.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $8.58 / $23.40	Professional	26	$7.15	$8.58	$23.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.95 / $27.00 / $71.29	Professional	TC	$21.95	$27.00	$71.29