Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $91.20 / $165.96	Facility	26	$38.02	$91.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $204.17	Professional		$66.07	$95.50	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $53.70 / $131.83	Professional	26	$37.15	$53.70	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $67.61	Professional	TC	$20.89	$38.90	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $323.59	Professional		$39.81	$87.10	$323.59
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $42.66 / $52.48	Professional	26	$38.90	$42.66	$52.48
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $43.65 / $58.88	Professional	TC	$24.55	$43.65	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $338.84	Professional		$77.62	$154.88	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $75.86 / $173.78	Professional	26	$43.65	$75.86	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $58.88 / $165.96	Professional	TC	$27.54	$58.88	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $181.97	Professional		$75.86	$89.13	$181.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $43.65 / $89.13	Professional	26	$38.90	$43.65	$89.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $45.71 / $93.33	Professional	TC	$37.15	$45.71	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $204.17	Professional		$60.26	$83.18	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $54.95 / $112.20	Professional	26	$36.31	$54.95	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $89.13	Professional	TC	$21.88	$31.62	$89.13