Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.18 / $111.23 / $223.69	Facility	26	$25.18	$111.23	$223.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $86.40 / $106.73	Professional		$79.86	$86.40	$106.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.56 / $61.22 / $78.43	Professional	TC	$55.56	$61.22	$78.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $111.20 / $224.75	Professional		$99.08	$111.20	$224.75
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $68.73 / $77.15 / $84.09	Professional	TC	$68.73	$77.15	$84.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $127.93 / $369.87	Professional		$79.38	$127.93	$369.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.78 / $83.56 / $263.95	Professional	TC	$53.78	$83.56	$263.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $109.14 / $210.79	Professional		$94.26	$109.14	$210.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.61 / $31.97 / $60.80	Professional	26	$27.61	$31.97	$60.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $66.65 / $77.18 / $149.99	Professional	TC	$66.65	$77.18	$149.99
United Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $117.70 / $267.10	Professional		$89.33	$117.70	$267.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.94 / $98.90 / $190.06	Professional	TC	$65.94	$98.90	$190.06