Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $24.13 / $27.55	Professional		$23.15	$24.13	$27.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.97 / $19.63 / $22.71	Professional	26	$18.97	$19.63	$22.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $4.50 / $4.87	Professional	TC	$4.07	$4.50	$4.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $30.78 / $57.96	Professional		$29.09	$30.78	$57.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $23.94 / $25.95	Professional	26	$22.23	$23.94	$25.95
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $4.83 / $5.15 / $35.72	Professional	TC	$4.83	$5.15	$35.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $34.20 / $76.87	Professional		$20.54	$34.20	$76.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.76 / $22.40 / $58.27	Professional	26	$16.76	$22.40	$58.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.58 / $11.80 / $21.04	Professional	TC	$1.58	$11.80	$21.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $27.16 / $27.16	Professional		$27.16	$27.16	$27.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.15 / $22.15 / $22.15	Professional	26	$22.15	$22.15	$22.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $5.00 / $5.00 / $5.00	Professional	TC	$5.00	$5.00	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $46.26 / $71.95	Professional		$20.50	$46.26	$71.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $22.06 / $55.76	Professional	26	$14.88	$22.06	$55.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.71 / $12.56 / $28.34	Professional	TC	$3.71	$12.56	$28.34