Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $120.23 / $223.87	Facility	26	$51.29	$120.23	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $275.42	Professional		$79.43	$114.82	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $165.96	Professional	26	$51.29	$75.86	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $74.13	Professional	TC	$23.99	$41.69	$74.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $354.81	Professional		$56.23	$107.15	$354.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $57.54 / $77.62	Professional	26	$51.29	$57.54	$77.62
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $47.86 / $53.70	Professional	TC	$25.12	$47.86	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $416.87	Professional		$97.72	$186.21	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $234.42	Professional	26	$58.88	$102.33	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $67.61 / $181.97	Professional	TC	$31.62	$67.61	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $223.87	Professional		$93.33	$109.65	$223.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $58.88 / $120.23	Professional	26	$52.48	$58.88	$120.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $102.33	Professional	TC	$40.74	$50.12	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $257.04	Professional		$74.13	$107.15	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $154.88	Professional	26	$48.98	$70.79	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $97.72	Professional	TC	$25.12	$34.67	$97.72