Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.99 / $133.47 / $354.44	Facility	26	$44.99	$133.47	$354.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $88.11 / $105.29	Professional		$82.21	$88.11	$105.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.06 / $44.99 / $93.44	Professional	26	$43.06	$44.99	$93.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $43.12 / $61.86	Professional	TC	$39.15	$43.12	$61.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $717.09	Professional		$101.49	$101.49	$717.09
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $50.55 / $97.86	Professional	26	$50.55	$50.55	$97.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $50.95 / $50.95 / $336.73	Professional	TC	$50.95	$50.95	$336.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $212.99 / $431.24	Professional		$84.87	$212.99	$431.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.23 / $72.48 / $219.06	Professional	26	$43.23	$72.48	$219.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.64 / $107.74 / $268.95	Professional	TC	$41.64	$107.74	$268.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $219.49 / $219.49	Professional		$100.79	$219.49	$219.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.34 / $111.43 / $111.43	Professional	26	$51.34	$111.43	$111.43
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $49.44 / $108.06 / $108.06	Professional	TC	$49.44	$108.06	$108.06
United Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $134.78 / $311.18	Professional		$83.12	$134.78	$311.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $41.81 / $157.97	Professional	26	$36.25	$41.81	$157.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.05 / $91.71 / $153.19	Professional	TC	$42.05	$91.71	$153.19