Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.29 / $113.88 / $308.89	Facility	26	$35.29	$113.88	$308.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $104.75 / $138.69	Professional		$97.03	$104.75	$138.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.02 / $69.45 / $100.62	Professional	TC	$63.02	$69.45	$100.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $151.18 / $566.14	Professional		$137.61	$151.18	$566.14
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $89.55 / $99.50 / $155.43	Professional	TC	$89.55	$99.50	$155.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $173.19 / $333.73	Professional		$97.01	$173.19	$333.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.41 / $163.35 / $299.43	Professional	TC	$57.41	$163.35	$299.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $256.08 / $256.08	Professional		$115.20	$256.08	$256.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $87.53 / $87.53	Professional	26	$40.11	$87.53	$87.53
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $75.08 / $168.55 / $168.55	Professional	TC	$75.08	$168.55	$168.55
United Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $145.88 / $324.49	Professional		$95.52	$145.88	$324.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.36 / $92.04 / $214.45	Professional	TC	$61.36	$92.04	$214.45