Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $32.64 / $97.22	Facility	26	$13.49	$32.64	$97.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $68.13 / $164.87	Professional		$60.53	$68.13	$164.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $13.49 / $32.64	Professional	26	$13.01	$13.49	$32.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.50 / $49.59 / $54.64	Professional	TC	$45.50	$49.59	$54.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $79.34 / $180.45	Professional		$68.75	$79.34	$180.45
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $18.20 / $19.84	Professional	26	$16.38	$18.20	$19.84
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $50.83 / $56.48 / $61.56	Professional	TC	$50.83	$56.48	$61.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $90.92 / $291.67	Professional		$57.29	$90.92	$291.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $22.33 / $57.50	Professional	26	$12.79	$22.33	$57.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.83 / $66.95 / $234.17	Professional	TC	$44.83	$66.95	$234.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $167.31 / $167.31	Professional		$75.98	$167.31	$167.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $33.44 / $33.44	Professional	26	$15.18	$33.44	$33.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $60.80 / $133.87 / $133.87	Professional	TC	$60.80	$133.87	$133.87
United Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $65.48 / $212.01	Professional		$47.23	$65.48	$212.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $37.44 / $42.38	Professional	26	$13.40	$37.44	$42.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.61 / $76.16 / $169.63	Professional	TC	$39.61	$76.16	$169.63