Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.29 / $95.19 / $183.77	Facility	26	$20.29	$95.19	$183.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $137.79 / $137.79	Professional		$126.20	$137.79	$137.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.64 / $117.50 / $117.50	Professional	TC	$106.64	$117.50	$117.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $157.31 / $293.16	Professional		$122.99	$157.31	$293.16
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $97.41 / $122.86 / $133.91	Professional	TC	$97.41	$122.86	$133.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $157.59 / $595.79	Professional		$107.83	$157.59	$595.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.88 / $121.67 / $509.41	Professional	TC	$83.88	$121.67	$509.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $174.47 / $338.24	Professional		$150.68	$174.47	$338.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.23 / $26.90 / $50.33	Professional	26	$23.23	$26.90	$50.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $127.45 / $147.58 / $287.91	Professional	TC	$127.45	$147.58	$287.91
United Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $189.96 / $428.59	Professional		$94.75	$189.96	$428.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.44 / $157.61 / $364.82	Professional	TC	$75.44	$157.61	$364.82