Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.53 / $61.72 / $167.62	Facility	26	$18.53	$61.72	$167.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $62.31 / $62.31	Professional		$57.61	$62.31	$62.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.86 / $18.53 / $19.86	Professional	26	$17.86	$18.53	$19.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.74 / $43.78 / $43.78	Professional	TC	$39.74	$43.78	$43.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $75.22 / $196.85	Professional		$67.67	$75.22	$196.85
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $23.75 / $25.89	Professional	26	$21.37	$23.75	$25.89
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $45.87 / $51.47 / $56.10	Professional	TC	$45.87	$51.47	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $92.10 / $267.67	Professional		$58.90	$92.10	$267.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $31.59 / $78.91	Professional	26	$17.57	$31.59	$78.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.33 / $59.92 / $188.77	Professional	TC	$41.33	$59.92	$188.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $80.98 / $154.02	Professional		$69.95	$80.98	$154.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.87 / $24.17 / $45.96	Professional	26	$20.87	$24.17	$45.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $49.08 / $56.83 / $108.06	Professional	TC	$49.08	$56.83	$108.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $144.41 / $195.16	Professional		$56.04	$144.41	$195.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $30.08 / $58.24	Professional	26	$17.64	$30.08	$58.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.15 / $60.84 / $136.91	Professional	TC	$38.15	$60.84	$136.91