Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.05 / $121.81 / $325.04	Facility	26	$41.05	$121.81	$325.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $59.82 / $60.27	Professional		$56.39	$59.82	$60.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $41.05 / $85.64	Professional	26	$39.32	$41.05	$85.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $18.76 / $19.94	Professional	TC	$17.07	$18.76	$19.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $224.74	Professional		$68.45	$68.45	$224.74
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $46.47 / $90.40	Professional	26	$46.47	$46.47	$90.40
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $22.00 / $41.81	Professional	TC	$22.00	$22.00	$41.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $99.37 / $292.33	Professional		$57.70	$99.37	$292.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $66.45 / $201.13	Professional	26	$39.81	$66.45	$201.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $32.92 / $91.21	Professional	TC	$17.88	$32.92	$91.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $149.24 / $149.24	Professional		$68.51	$149.24	$149.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.27 / $102.49 / $102.49	Professional	26	$47.27	$102.49	$102.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $46.77 / $46.77	Professional	TC	$21.24	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $90.91 / $211.59	Professional		$49.16	$90.91	$211.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.26 / $62.87 / $145.31	Professional	26	$33.26	$62.87	$145.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $18.25 / $66.28	Professional	TC	$17.30	$18.25	$66.28