Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $47.93 / $61.35	Professional		$38.56	$47.93	$61.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.35 / $27.07 / $125.21	Professional	26	$23.35	$27.07	$125.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $22.84 / $29.23	Professional	TC	$11.48	$22.84	$29.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $56.73 / $61.84	Professional		$52.67	$56.73	$61.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.94 / $33.94 / $39.50	Professional	26	$33.94	$33.94	$39.50
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $13.17 / $22.79 / $24.84	Professional	TC	$13.17	$22.79	$24.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $31.63 / $220.99	Professional		$23.31	$31.63	$220.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $18.05 / $115.70	Professional	26	$13.50	$18.05	$115.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.32 / $13.01 / $105.29	Professional	TC	$5.32	$13.01	$105.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $126.05 / $126.05	Professional		$69.73	$126.05	$126.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $65.56 / $65.56	Professional	26	$36.49	$65.56	$65.56
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.25 / $60.47 / $60.47	Professional	TC	$33.25	$60.47	$60.47
United Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $41.76 / $91.74	Professional		$31.93	$41.76	$91.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $23.42 / $63.71	Professional	26	$19.48	$23.42	$63.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $16.93 / $28.03	Professional	TC	$13.86	$16.93	$28.03