Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $69.88 / $174.40	Facility	26	$11.16	$69.88	$174.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $71.41 / $159.00	Professional		$55.79	$71.41	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $26.26 / $57.58	Professional	26	$24.08	$26.26	$57.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.27 / $31.47 / $85.82	Professional	TC	$31.27	$31.47	$85.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $84.53 / $244.51	Professional		$82.07	$84.53	$244.51
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $31.34 / $35.40 / $41.20	Professional	26	$31.34	$35.40	$41.20
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $46.66 / $46.73 / $62.15	Professional	TC	$46.66	$46.73	$62.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $97.88 / $267.48	Professional		$50.54	$97.88	$267.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.23 / $34.03 / $84.34	Professional	26	$23.23	$34.03	$84.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $64.98 / $151.96	Professional	TC	$27.78	$64.98	$151.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $139.02 / $139.02	Professional		$67.61	$139.02	$139.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.06 / $59.98 / $59.98	Professional	26	$29.06	$59.98	$59.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.54 / $79.03 / $79.03	Professional	TC	$38.54	$79.03	$79.03
United Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $83.56 / $191.36	Professional		$50.92	$83.56	$191.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $29.59 / $82.57	Professional	26	$23.19	$29.59	$82.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.29 / $44.45 / $114.51	Professional	TC	$27.29	$44.45	$114.51