Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.70 / $97.52 / $353.36	Facility	26	$38.70	$97.52	$353.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $83.98 / $141.50	Professional		$71.40	$83.98	$141.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $41.47 / $62.51	Professional	26	$38.70	$41.47	$62.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $45.27 / $62.31	Professional	TC	$26.17	$45.27	$62.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $97.95 / $240.19	Professional		$88.15	$97.95	$240.19
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $52.07 / $52.07 / $65.09	Professional	26	$52.07	$52.07	$65.09
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $31.29 / $45.87 / $57.34	Professional	TC	$31.29	$45.87	$57.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $150.84 / $356.81	Professional		$77.77	$150.84	$356.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $74.76 / $172.65	Professional	26	$42.92	$74.76	$172.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.74 / $64.50 / $184.16	Professional	TC	$30.74	$64.50	$184.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $91.49 / $193.82	Professional		$76.95	$91.49	$193.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $42.92 / $89.78	Professional	26	$37.63	$42.92	$89.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.32 / $48.57 / $104.03	Professional	TC	$39.32	$48.57	$104.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $95.95 / $233.17	Professional		$63.30	$95.95	$233.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.83 / $51.50 / $113.70	Professional	26	$38.83	$51.50	$113.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $53.23 / $131.74	Professional	TC	$24.18	$53.23	$131.74