Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $60.26	Professional		$48.98	$53.70	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.95 / $19.95	Professional	26	$18.20	$19.95	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $33.11 / $39.81	Professional	TC	$30.90	$33.11	$39.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $72.44	Professional		$38.02	$58.88	$72.44
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.91 / $25.12	Professional	26	$20.89	$22.91	$25.12
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $38.90 / $57.54	Professional	TC	$38.02	$38.90	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $281.84	Professional		$30.20	$39.81	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.80 / $93.33	Professional	26	$10.96	$13.80	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $186.21	Professional	TC	$19.50	$25.70	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $158.49	Professional		$83.18	$158.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $53.70 / $53.70	Professional	26	$29.51	$53.70	$53.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $104.71 / $104.71	Professional	TC	$53.70	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $147.91	Professional		$44.67	$57.54	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.95 / $50.12	Professional	26	$16.60	$19.95	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $97.72	Professional	TC	$28.84	$37.15	$97.72