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 / $333.96	Facility	26	$38.70	$97.52	$333.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $79.83 / $133.94	Professional		$65.54	$79.83	$133.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $41.47 / $57.47	Professional	26	$38.70	$41.47	$57.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $41.13 / $56.58	Professional	TC	$23.28	$41.13	$56.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $93.83 / $256.02	Professional		$84.45	$93.83	$256.02
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 $27.37 / $41.76 / $52.20	Professional	TC	$27.37	$41.76	$52.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $151.25 / $346.50	Professional		$73.84	$151.25	$346.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $74.73 / $172.65	Professional	26	$42.92	$74.73	$172.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.41 / $57.13 / $166.89	Professional	TC	$27.41	$57.13	$166.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $86.87 / $183.33	Professional		$73.20	$86.87	$183.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $42.92 / $88.97	Professional	26	$37.63	$42.92	$88.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.58 / $43.95 / $94.36	Professional	TC	$35.58	$43.95	$94.36
United Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $93.37 / $220.55	Professional		$60.52	$93.37	$220.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $55.83 / $115.04	Professional	26	$34.36	$55.83	$115.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $40.22 / $119.49	Professional	TC	$21.87	$40.22	$119.49