Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $47.86 / $75.86	Facility	26	$10.00	$47.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $275.42	Professional		$74.13	$95.50	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $54.95	Professional	26	$10.00	$12.02	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $83.18 / $218.78	Professional	TC	$63.10	$83.18	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $141.25 / $269.15	Professional		$13.80	$141.25	$269.15
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.14 / $26.92	Professional	26	$11.75	$15.14	$26.92
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $120.23 / $131.83	Professional	TC	$109.65	$120.23	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $323.59	Professional		$97.72	$154.88	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.49 / $33.11	Professional	26	$10.00	$13.49	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $141.25 / $302.00	Professional	TC	$87.10	$141.25	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $245.47	Professional		$104.71	$114.82	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $12.30 / $25.70	Professional	26	$11.75	$12.30	$25.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $102.33 / $223.87	Professional	TC	$93.33	$102.33	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $380.19	Professional		$95.50	$162.18	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $14.79 / $39.81	Professional	26	$7.76	$14.79	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $141.25 / $338.84	Professional	TC	$87.10	$141.25	$338.84