Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $70.79 / $173.78	Facility	26	$23.99	$70.79	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $275.42	Professional		$61.66	$107.15	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $75.86	Professional	26	$23.99	$30.90	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $77.62 / $190.55	Professional	TC	$23.99	$77.62	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $190.55	Professional		$97.72	$128.82	$190.55
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $32.36 / $35.48	Professional	26	$30.20	$32.36	$35.48
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $104.71 / $144.54	Professional	TC	$69.18	$104.71	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $295.12	Professional		$87.10	$123.03	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $32.36 / $77.62	Professional	26	$23.44	$32.36	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $93.33 / $213.80	Professional	TC	$60.26	$93.33	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $239.88	Professional		$107.15	$114.82	$239.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $28.84 / $60.26	Professional	26	$27.54	$28.84	$60.26
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $85.11 / $181.97	Professional	TC	$77.62	$85.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $371.54	Professional		$61.66	$125.89	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $34.67 / $91.20	Professional	26	$19.05	$34.67	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $93.33 / $275.42	Professional	TC	$43.65	$93.33	$275.42