Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $71.22 / $71.22	Professional		$45.94	$71.22	$71.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $10.67 / $10.67	Professional	26	$7.90	$10.67	$10.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.03 / $60.54 / $60.54	Professional	TC	$38.03	$60.54	$60.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $53.58 / $53.58	Professional		$38.71	$53.58	$53.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $8.06 / $8.91	Professional	26	$6.09	$8.06	$8.91
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.80 / $45.53 / $45.53	Professional	TC	$30.80	$45.53	$45.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $58.44 / $165.44	Professional		$43.34	$58.44	$165.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.70 / $24.87	Professional	26	$6.92	$10.70	$24.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.42 / $49.72 / $140.56	Professional	TC	$36.42	$49.72	$140.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $68.30 / $129.88	Professional		$58.99	$68.30	$129.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $10.19 / $18.60	Professional	26	$8.81	$10.19	$18.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $50.18 / $58.10 / $111.29	Professional	TC	$50.18	$58.10	$111.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $45.25 / $136.01	Professional		$33.08	$45.25	$136.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $7.84 / $22.22	Professional	26	$6.49	$7.84	$22.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $37.95 / $113.90	Professional	TC	$25.94	$37.95	$113.90