Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $73.84 / $80.50	Professional		$54.84	$73.84	$80.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.05 / $32.51 / $32.51	Professional	26	$24.05	$32.51	$32.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.42 / $40.25 / $40.25	Professional	52	$27.42	$40.25	$40.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.78 / $47.99 / $47.99	Professional	TC	$30.78	$47.99	$47.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $64.06 / $65.76	Professional		$64.06	$64.06	$65.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $26.60 / $26.60	Professional	26	$13.17	$26.60	$26.60
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $37.47 / $37.47 / $52.59	Professional	TC	$37.47	$37.47	$52.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $77.26 / $186.72	Professional		$48.56	$77.26	$186.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.20 / $31.23 / $74.68	Professional	26	$20.20	$31.23	$74.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $46.04 / $112.04	Professional	TC	$28.36	$46.04	$112.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $70.67 / $70.67	Professional		$70.67	$70.67	$70.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.40 / $42.40 / $42.40	Professional	TC	$42.40	$42.40	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $66.84 / $177.57	Professional		$51.01	$66.84	$177.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $23.47 / $70.64	Professional	26	$19.32	$23.47	$70.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.58 / $40.54 / $106.93	Professional	TC	$28.58	$40.54	$106.93