Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.85 / $70.81 / $204.29	Facility	26	$24.85	$70.81	$204.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $99.23 / $99.23	Professional		$73.48	$99.23	$99.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.01 / $24.85 / $60.13	Professional	26	$24.01	$24.85	$60.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.13 / $74.38 / $74.38	Professional	TC	$48.13	$74.38	$74.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $116.40 / $156.10	Professional		$106.57	$116.40	$156.10
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $29.66 / $29.66 / $35.40	Professional	26	$29.66	$29.66	$35.40
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $76.91 / $77.13 / $107.59	Professional	TC	$76.91	$77.13	$107.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $142.57 / $462.35	Professional		$90.38	$142.57	$462.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $39.85 / $114.38	Professional	26	$23.25	$39.85	$114.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.83 / $101.32 / $347.97	Professional	TC	$61.83	$101.32	$347.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $126.95 / $242.24	Professional		$105.99	$126.95	$242.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.61 / $31.97 / $59.98	Professional	26	$27.61	$31.97	$59.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $78.26 / $94.99 / $182.25	Professional	TC	$78.26	$94.99	$182.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $107.18 / $367.68	Professional		$39.79	$107.18	$367.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $39.11 / $91.05	Professional	26	$23.72	$39.11	$91.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.20 / $112.65 / $276.63	Professional	TC	$43.20	$112.65	$276.63