Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $73.66 / $80.29	Professional		$55.22	$73.66	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.89 / $44.41 / $44.41	Professional	26	$32.89	$44.41	$44.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $35.88 / $35.88	Professional	TC	$22.33	$35.88	$35.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $59.52 / $59.52	Professional		$40.99	$59.52	$59.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $27.42 / $33.15 / $33.15	Professional	26	$27.42	$33.15	$33.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $13.57 / $26.37 / $26.37	Professional	TC	$13.57	$26.37	$26.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $76.30 / $183.76	Professional		$48.44	$76.30	$183.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.58 / $42.49 / $102.36	Professional	26	$27.58	$42.49	$102.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $33.81 / $81.40	Professional	TC	$20.83	$33.81	$81.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $70.62	Professional		$70.62	$70.62	$70.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.01 / $39.01 / $39.01	Professional	26	$39.01	$39.01	$39.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.61 / $31.61 / $31.61	Professional	TC	$31.61	$31.61	$31.61
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $68.66 / $176.45	Professional		$42.70	$68.66	$176.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.54 / $36.69 / $97.47	Professional	26	$26.54	$36.69	$97.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.95 / $25.39 / $78.98	Professional	TC	$15.95	$25.39	$78.98