Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $77.62	Professional		$38.90	$50.12	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $10.72	Professional	26	$6.03	$7.94	$10.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $41.69 / $60.26	Professional	TC	$32.36	$41.69	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $52.48 / $63.10	Professional		$8.91	$52.48	$63.10
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.32 / $10.96	Professional	26	$6.03	$8.32	$10.96
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $51.29	Professional	TC	$30.90	$47.86	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $151.36	Professional		$38.02	$48.98	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.33 / $21.38	Professional	26	$6.92	$9.33	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $39.81 / $128.82	Professional	TC	$31.62	$39.81	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $128.82	Professional		$61.66	$70.79	$128.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.47 / $18.62	Professional	26	$9.12	$10.47	$18.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $60.26 / $112.20	Professional	TC	$52.48	$60.26	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $134.90	Professional		$32.36	$47.86	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.76 / $21.88	Professional	26	$6.17	$7.76	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $114.82	Professional	TC	$25.70	$39.81	$114.82