Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $117.49 / $257.04	Facility	26	$34.67	$117.49	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $173.78	Professional		$75.86	$104.71	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $66.07 / $114.82	Professional	TC	$39.81	$66.07	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $134.90 / $676.08	Professional		$46.77	$134.90	$676.08
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $97.72 / $177.83	Professional	TC	$89.13	$97.72	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $309.03	Professional		$89.13	$158.49	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $112.20 / $218.78	Professional	TC	$56.23	$112.20	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $257.04	Professional		$117.49	$138.04	$257.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $47.86 / $87.10	Professional	26	$41.69	$47.86	$87.10
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $91.20 / $169.82	Professional	TC	$75.86	$91.20	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $323.59	Professional		$97.72	$147.91	$323.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $213.80	Professional	TC	$61.66	$95.50	$213.80