Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $97.72 / $288.40	Facility	26	$39.81	$97.72	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $229.09	Professional		$70.79	$95.50	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $41.69 / $154.88	Professional	26	$15.14	$41.69	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $54.95 / $173.78	Professional	TC	$43.65	$54.95	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $107.15 / $1,819.70	Professional		$43.65	$107.15	$1,819.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $44.67 / $47.86	Professional	26	$17.78	$44.67	$47.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $53.70 / $489.78	Professional	TC	$51.29	$53.70	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $562.34	Professional		$77.62	$162.18	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $27.54 / $102.33	Professional	26	$16.98	$27.54	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $109.65 / $537.03	Professional	TC	$46.77	$109.65	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $223.87	Professional		$100.00	$107.15	$223.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $45.71 / $100.00	Professional	26	$33.88	$45.71	$100.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $60.26 / $138.04	Professional	TC	$54.95	$60.26	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $281.84	Professional		$102.33	$181.97	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $52.48 / $125.89	Professional	26	$14.13	$52.48	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $128.82 / $204.17	Professional	TC	$58.88	$128.82	$204.17