Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $67.61 / $128.82	Facility	26	$28.18	$67.61	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $141.25	Professional		$47.86	$69.18	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $104.71	Professional	26	$28.18	$36.31	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $36.31 / $63.10	Professional	TC	$18.20	$36.31	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $74.13 / $245.47	Professional		$32.36	$74.13	$245.47
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $36.31 / $43.65	Professional	26	$29.51	$36.31	$43.65
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $41.69 / $54.95	Professional	TC	$21.38	$41.69	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $288.40	Professional		$64.57	$131.83	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $57.54 / $131.83	Professional	26	$33.11	$57.54	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $52.48 / $154.88	Professional	TC	$22.91	$52.48	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $154.88	Professional		$64.57	$75.86	$154.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $33.88 / $67.61	Professional	26	$29.51	$33.88	$67.61
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $42.66 / $89.13	Professional	TC	$34.67	$42.66	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $169.82	Professional		$47.86	$66.07	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $41.69 / $85.11	Professional	26	$27.54	$41.69	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $83.18	Professional	TC	$17.78	$29.51	$83.18