Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $80.34 / $91.65	Professional		$71.67	$80.34	$91.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.23 / $50.73 / $55.52	Professional	26	$47.23	$50.73	$55.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.43 / $29.62 / $36.14	Professional	TC	$24.43	$29.62	$36.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $99.11 / $111.57	Professional		$99.11	$99.11	$111.57
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $68.62 / $68.62 / $81.42	Professional	26	$68.62	$68.62	$81.42
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.49 / $30.49 / $36.19	Professional	TC	$30.49	$30.49	$36.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $62.44 / $370.47	Professional		$41.92	$62.44	$370.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $37.09 / $233.88	Professional	26	$27.14	$37.09	$233.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.73 / $26.73 / $136.58	Professional	TC	$13.73	$26.73	$136.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $209.98 / $209.98	Professional		$115.00	$209.98	$209.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.31 / $132.57 / $132.57	Professional	26	$73.31	$132.57	$132.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.68 / $77.41 / $77.41	Professional	TC	$41.68	$77.41	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $68.23 / $221.67	Professional		$44.09	$68.23	$221.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $47.03 / $139.94	Professional	26	$39.19	$47.03	$139.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $21.36 / $91.29	Professional	TC	$16.03	$21.36	$91.29