Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.47 / $61.63 / $181.14	Facility	26	$25.47	$61.63	$181.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $100.51 / $178.06	Professional		$96.64	$100.51	$178.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $26.48 / $61.63	Professional	26	$25.47	$26.48	$61.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.18 / $75.04 / $133.91	Professional	TC	$71.18	$75.04	$133.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $273.39	Professional		$128.72	$128.72	$273.39
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $33.59 / $36.61	Professional	26	$33.59	$33.59	$36.61
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $95.13 / $95.13 / $103.69	Professional	TC	$95.13	$95.13	$103.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $136.27 / $330.79	Professional		$90.52	$136.27	$330.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $35.24 / $88.36	Professional	26	$24.07	$35.24	$88.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.64 / $95.25 / $242.43	Professional	TC	$64.64	$95.25	$242.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $246.99 / $246.99	Professional		$119.61	$246.99	$246.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.17 / $62.30 / $62.30	Professional	26	$30.17	$62.30	$62.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $89.44 / $184.69 / $184.69	Professional	TC	$89.44	$184.69	$184.69
United Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $109.71 / $357.88	Professional		$90.70	$109.71	$357.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $31.95 / $85.76	Professional	26	$23.40	$31.95	$85.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.30 / $87.02 / $267.61	Professional	TC	$67.30	$87.02	$267.61