Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $144.54	Professional		$46.77	$61.66	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $120.23	Professional	26	$20.89	$26.92	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $60.26	Professional	TC	$25.70	$33.11	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $58.88 / $66.07	Professional		$18.62	$58.88	$66.07
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $11.75 / $13.18	Professional	26	$11.75	$11.75	$13.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $47.86 / $52.48	Professional	TC	$46.77	$47.86	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $204.17	Professional		$48.98	$77.62	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $81.28	Professional	26	$20.42	$25.70	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $45.71 / $120.23	Professional	TC	$28.18	$45.71	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $131.83	Professional		$72.44	$72.44	$131.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $54.95	Professional	26	$28.84	$28.84	$54.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $77.62	Professional	TC	$43.65	$43.65	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $158.49	Professional		$43.65	$58.88	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $21.88 / $66.07	Professional	26	$17.78	$21.88	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.15 / $95.50	Professional	TC	$24.55	$37.15	$95.50