Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.74 / $27.74 / $218.67	Facility	26	$27.74	$27.74	$218.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $122.77 / $297.10	Professional		$93.98	$122.77	$297.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $27.74 / $109.37	Professional	26	$24.89	$27.74	$109.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $95.04 / $229.99	Professional	TC	$69.06	$95.04	$229.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $136.13 / $136.13	Professional		$29.76	$136.13	$136.13
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $37.96 / $37.96	Professional	26	$7.74	$37.96	$37.96
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $98.18 / $98.18	Professional	TC	$22.02	$98.18	$98.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $122.82 / $566.05	Professional		$54.07	$122.82	$566.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $32.67 / $127.89	Professional	26	$14.13	$32.67	$127.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.93 / $90.14 / $438.16	Professional	TC	$39.93	$90.14	$438.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $316.19 / $316.19	Professional		$168.06	$316.19	$316.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.93 / $72.63 / $72.63	Professional	26	$39.93	$72.63	$72.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $128.13 / $243.56 / $243.56	Professional	TC	$128.13	$243.56	$243.56
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $212.49 / $333.79	Professional		$74.37	$212.49	$333.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.11 / $28.87 / $76.67	Professional	26	$19.11	$28.87	$76.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.90 / $82.79 / $257.12	Professional	TC	$51.90	$82.79	$257.12