Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $60.61 / $146.66	Professional		$52.98	$60.61	$146.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $20.19 / $48.85	Professional	26	$19.73	$20.19	$48.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.25 / $40.42 / $97.81	Professional	TC	$33.25	$40.42	$97.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $72.16 / $78.65	Professional		$72.16	$72.16	$78.65
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $28.02 / $28.02 / $30.54	Professional	26	$28.02	$28.02	$30.54
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $44.14 / $44.14 / $48.11	Professional	TC	$44.14	$44.14	$48.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $46.71 / $279.45	Professional		$30.46	$46.71	$279.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.92 / $15.69 / $93.11	Professional	26	$10.92	$15.69	$93.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $31.02 / $186.35	Professional	TC	$19.48	$31.02	$186.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $158.41 / $158.41	Professional		$84.43	$158.41	$158.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $53.58 / $53.58	Professional	26	$29.45	$53.58	$53.58
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $54.97 / $104.83 / $104.83	Professional	TC	$54.97	$104.83	$104.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $57.40 / $131.00	Professional		$43.33	$57.40	$131.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.20 / $19.73 / $56.57	Professional	26	$14.20	$19.73	$56.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $37.52 / $110.66	Professional	TC	$28.37	$37.52	$110.66