Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.50 / $95.46 / $241.42	Facility	26	$33.50	$95.46	$241.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $71.34 / $172.66	Professional		$66.67	$71.34	$172.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $33.50 / $81.06	Professional	26	$32.29	$33.50	$81.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.36 / $37.85 / $91.59	Professional	TC	$34.36	$37.85	$91.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $84.17 / $319.13	Professional		$84.17	$84.17	$319.13
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $36.68 / $41.16 / $44.86	Professional	26	$36.68	$41.16	$44.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.71 / $43.01 / $70.97	Professional	TC	$38.71	$43.01	$70.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $180.55 / $297.45	Professional		$70.62	$180.55	$297.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $54.94 / $142.66	Professional	26	$31.76	$54.94	$142.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.85 / $95.79 / $170.32	Professional	TC	$38.85	$95.79	$170.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $97.10 / $181.40	Professional		$83.86	$97.10	$181.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $43.67 / $83.04	Professional	26	$37.72	$43.67	$83.04
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $46.14 / $53.43 / $98.36	Professional	TC	$46.14	$53.43	$98.36
United Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $101.60 / $275.33	Professional		$57.95	$101.60	$275.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.31 / $51.55 / $126.04	Professional	26	$28.31	$51.55	$126.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.02 / $58.66 / $149.30	Professional	TC	$30.02	$58.66	$149.30