Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.07 / $82.44 / $245.62	Facility	26	$34.07	$82.44	$245.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $120.30 / $143.57	Professional		$111.09	$120.30	$143.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $34.07 / $82.44	Professional	26	$32.86	$34.07	$82.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.23 / $86.23 / $100.14	Professional	TC	$78.23	$86.23	$100.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $143.44 / $238.89	Professional		$143.44	$143.44	$238.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $42.55 / $46.38	Professional	26	$38.29	$42.55	$46.38
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $100.89 / $109.97	Professional	TC	$90.80	$100.89	$109.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.42 / $189.65 / $516.88	Professional		$113.42	$189.65	$516.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $56.39 / $145.09	Professional	26	$32.31	$56.39	$145.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.11 / $131.00 / $371.79	Professional	TC	$81.11	$131.00	$371.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $155.96 / $295.77	Professional		$134.69	$155.96	$295.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $44.43 / $84.48	Professional	26	$38.36	$44.43	$84.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $96.32 / $111.53 / $211.30	Professional	TC	$96.32	$111.53	$211.30
United Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $193.99 / $442.78	Professional		$111.85	$193.99	$442.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.14 / $55.43 / $126.47	Professional	26	$32.14	$55.43	$126.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.45 / $103.61 / $316.31	Professional	TC	$81.45	$103.61	$316.31