Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.31 / $78.19 / $230.55	Facility	26	$32.31	$78.19	$230.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $123.48 / $153.16	Professional		$113.86	$123.48	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.16 / $32.65 / $54.60	Professional	26	$31.16	$32.65	$54.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.71 / $91.17 / $113.09	Professional	TC	$82.71	$91.17	$113.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $146.87 / $242.34	Professional		$146.87	$146.87	$242.34
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $36.19 / $40.21 / $43.83	Professional	26	$36.19	$40.21	$43.83
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $95.99 / $106.66 / $116.26	Professional	TC	$95.99	$106.66	$116.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $193.84 / $527.85	Professional		$116.07	$193.84	$527.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.63 / $52.48 / $136.19	Professional	26	$30.63	$52.48	$136.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.44 / $138.41 / $391.65	Professional	TC	$85.44	$138.41	$391.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $159.60 / $302.69	Professional		$137.84	$159.60	$302.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.38 / $42.12 / $79.30	Professional	26	$36.38	$42.12	$79.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $101.46 / $117.48 / $223.39	Professional	TC	$101.46	$117.48	$223.39
United Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $165.95 / $453.13	Professional		$114.71	$165.95	$453.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.49 / $49.74 / $118.71	Professional	26	$30.49	$49.74	$118.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.05 / $109.97 / $334.42	Professional	TC	$86.05	$109.97	$334.42