Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.64 / $67.50 / $83.53	Facility	26	$53.64	$67.50	$83.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $38.54 / $140.91	Professional		$28.64	$38.54	$140.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $29.32 / $70.95	Professional	26	$18.21	$29.32	$70.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.00 / $9.22 / $26.26	Professional	TC	$9.00	$9.22	$26.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $63.14 / $245.48	Professional		$56.82	$63.14	$245.48
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $25.97 / $32.88	Professional	26	$25.97	$25.97	$32.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $37.17 / $40.52	Professional	TC	$33.45	$37.17	$40.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $57.09 / $174.79	Professional		$35.82	$57.09	$174.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $29.58 / $87.28	Professional	26	$20.76	$29.58	$87.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.54 / $27.45 / $102.34	Professional	TC	$11.54	$27.45	$102.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $146.86 / $146.86	Professional		$71.36	$146.86	$146.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.74 / $71.88 / $71.88	Professional	26	$34.74	$71.88	$71.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.61 / $74.98 / $74.98	Professional	TC	$36.61	$74.98	$74.98
United Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $81.55 / $202.16	Professional		$27.17	$81.55	$202.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $32.88 / $98.94	Professional	26	$17.76	$32.88	$98.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $32.45 / $108.65	Professional	TC	$9.18	$32.45	$108.65