Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $48.60 / $56.56	Professional		$43.11	$48.60	$56.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.67 / $30.70 / $33.79	Professional	26	$28.67	$30.70	$33.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $17.89 / $22.76	Professional	TC	$14.44	$17.89	$22.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $59.58 / $64.94	Professional		$58.47	$59.58	$64.94
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $40.02 / $41.62 / $45.37	Professional	26	$40.02	$41.62	$45.37
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $17.96 / $19.57	Professional	TC	$17.96	$17.96	$19.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $38.31 / $224.07	Professional		$25.62	$38.31	$224.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $22.43 / $141.56	Professional	26	$16.52	$22.43	$141.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.40 / $16.39 / $82.51	Professional	TC	$8.40	$16.39	$82.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $127.21 / $127.21	Professional		$70.37	$127.21	$127.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.65 / $80.41 / $80.41	Professional	26	$44.65	$80.41	$80.41
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.71 / $46.77 / $46.77	Professional	TC	$25.71	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $46.19 / $138.38	Professional		$34.64	$46.19	$138.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $28.64 / $80.70	Professional	26	$23.82	$28.64	$80.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $14.43 / $57.67	Professional	TC	$10.82	$14.43	$57.67