Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $27.57 / $31.58	Professional		$26.49	$27.57	$31.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $23.07 / $27.12	Professional	26	$22.31	$23.07	$27.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.25 / $13.79 / $15.79	Professional	52	$13.25	$13.79	$15.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.70 / $4.50 / $4.51	Professional	TC	$3.70	$4.50	$4.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $35.60 / $58.70	Professional		$33.29	$35.60	$58.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $28.14 / $31.14	Professional	26	$17.95	$28.14	$31.14
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $4.46 / $5.15 / $40.75	Professional	TC	$4.46	$5.15	$40.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $30.48 / $83.49	Professional		$23.49	$30.48	$83.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $23.52 / $69.70	Professional	26	$18.68	$23.52	$69.70
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 $31.05 / $31.05 / $31.05	Professional		$31.05	$31.05	$31.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $26.43 / $26.43	Professional	26	$26.43	$26.43	$26.43
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.62 / $4.62 / $4.62	Professional	TC	$4.62	$4.62	$4.62
United Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $52.36 / $82.24	Professional		$23.86	$52.36	$82.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $26.47 / $68.19	Professional	26	$13.58	$26.47	$68.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $12.59 / $32.97	Professional	TC	$3.72	$12.59	$32.97