Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.77 / $37.64 / $92.79	Facility	26	$30.77	$37.64	$92.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $59.94 / $75.26	Professional		$55.16	$59.94	$75.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $13.21 / $17.26	Professional	26	$12.73	$13.21	$17.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.43 / $46.74 / $57.99	Professional	TC	$42.43	$46.74	$57.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $70.14 / $187.33	Professional		$69.15	$70.14	$187.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $18.27 / $30.15	Professional	26	$16.44	$18.27	$30.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $46.69 / $51.88 / $85.60	Professional	TC	$46.69	$51.88	$85.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $88.03 / $256.33	Professional		$55.69	$88.03	$256.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $22.72 / $54.81	Professional	26	$12.51	$22.72	$54.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.18 / $63.30 / $201.53	Professional	TC	$43.18	$63.30	$201.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $145.62 / $145.62	Professional		$66.13	$145.62	$145.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.86 / $31.91 / $31.91	Professional	26	$14.86	$31.91	$31.91
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $51.27 / $113.71 / $113.71	Professional	TC	$51.27	$113.71	$113.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $72.19 / $184.52	Professional		$57.42	$72.19	$184.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $29.93 / $40.44	Professional	26	$13.69	$29.93	$40.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.38 / $65.59 / $144.08	Professional	TC	$43.38	$65.59	$144.08