Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.62 / $116.44 / $231.90	Facility	26	$29.62	$116.44	$231.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $62.20 / $79.11	Professional		$58.01	$62.20	$79.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $29.62 / $305.81	Professional	26	$28.41	$29.62	$305.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.60 / $32.59 / $41.71	Professional	TC	$29.60	$32.59	$41.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $74.65 / $295.98	Professional		$74.65	$74.65	$295.98
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.08 / $33.08 / $78.63	Professional	26	$33.08	$33.08	$78.63
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $41.57 / $41.57 / $111.64	Professional	TC	$41.57	$41.57	$111.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $136.47 / $301.60	Professional		$60.12	$136.47	$301.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.35 / $47.45 / $142.44	Professional	26	$28.35	$47.45	$142.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $88.52 / $159.15	Professional	TC	$31.76	$88.52	$159.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $153.97 / $153.97	Professional		$71.39	$153.97	$153.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.67 / $72.53 / $72.53	Professional	26	$33.67	$72.53	$72.53
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.72 / $81.45 / $81.45	Professional	TC	$37.72	$81.45	$81.45
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $94.86 / $218.30	Professional		$57.74	$94.86	$218.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.11 / $73.11 / $102.83	Professional	26	$24.11	$73.11	$102.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $37.61 / $115.47	Professional	TC	$31.09	$37.61	$115.47