Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $125.89 / $295.12	Facility	26	$40.74	$125.89	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $199.53	Professional		$46.77	$66.07	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $51.29 / $131.83	Professional	26	$33.11	$51.29	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.05 / $66.07	Professional	TC	$12.88	$19.05	$66.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $204.17 / $263.03	Professional		$70.79	$204.17	$263.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $66.07 / $93.33	Professional	26	$45.71	$66.07	$93.33
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $24.55 / $43.65	Professional	TC	$20.42	$24.55	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $295.12	Professional		$53.70	$66.07	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $199.53	Professional	26	$37.15	$46.77	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.05 / $91.20	Professional	TC	$16.22	$19.05	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $147.91	Professional		$69.18	$81.28	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $56.23 / $102.33	Professional	26	$47.86	$56.23	$102.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.12 / $46.77	Professional	TC	$21.88	$25.12	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $213.80	Professional		$48.98	$79.43	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $54.95 / $144.54	Professional	26	$33.11	$54.95	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $66.07	Professional	TC	$15.85	$23.44	$66.07