Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.98 / $91.13 / $228.19	Facility	26	$31.98	$91.13	$228.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.42 / $143.56 / $334.49	Professional		$119.42	$143.56	$334.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.86 / $31.98 / $77.39	Professional	26	$30.86	$31.98	$77.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.27 / $111.58 / $270.02	Professional	TC	$101.27	$111.58	$270.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $124.84 / $169.29 / $267.01	Professional		$124.84	$169.29	$267.01
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $39.50 / $39.68 / $43.25	Professional	26	$39.50	$39.68	$43.25
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $85.34 / $129.60 / $141.26	Professional	TC	$85.34	$129.60	$141.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $188.57 / $476.05	Professional		$130.24	$188.57	$476.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $43.79 / $111.18	Professional	26	$30.32	$43.79	$111.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.26 / $143.86 / $364.87	Professional	TC	$95.26	$143.86	$364.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $349.46 / $349.46	Professional		$165.51	$349.46	$349.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $78.48 / $78.48	Professional	26	$37.90	$78.48	$78.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $127.61 / $270.95 / $270.95	Professional	TC	$127.61	$270.95	$270.95
United Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $172.91 / $481.04	Professional		$119.37	$172.91	$481.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.48 / $41.65 / $108.03	Professional	26	$29.48	$41.65	$108.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.86 / $161.44 / $373.01	Professional	TC	$91.86	$161.44	$373.01