Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.91 / $54.38 / $146.77	Facility	26	$20.91	$54.38	$146.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $70.59 / $181.99	Professional		$45.92	$70.59	$181.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $20.91 / $40.28	Professional	26	$18.01	$20.91	$40.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $25.02 / $64.31	Professional	TC	$25.02	$25.02	$64.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $57.33 / $247.11	Professional		$57.17	$57.33	$247.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $25.00 / $27.78 / $36.32	Professional	26	$25.00	$27.78	$36.32
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.54 / $29.54 / $148.88	Professional	TC	$29.54	$29.54	$148.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $91.65 / $224.95	Professional		$42.34	$91.65	$224.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $27.90 / $73.40	Professional	26	$18.16	$27.90	$73.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $70.40 / $121.92	Professional	TC	$22.16	$70.40	$121.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $61.19 / $114.75	Professional		$51.59	$61.19	$114.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $27.27 / $51.06	Professional	26	$23.62	$27.27	$51.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.97 / $33.92 / $63.70	Professional	TC	$27.97	$33.92	$63.70
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $68.80 / $157.94	Professional		$42.50	$68.80	$157.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $26.57 / $70.29	Professional	26	$15.24	$26.57	$70.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.64 / $58.09 / $87.66	Professional	TC	$23.64	$58.09	$87.66