Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.80 / $80.55 / $166.88	Facility	26	$18.80	$80.55	$166.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $56.48 / $80.00	Professional		$39.60	$56.48	$80.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $20.59 / $28.10	Professional	26	$18.80	$20.59	$28.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $37.67 / $51.90	Professional	TC	$18.23	$37.67	$51.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $59.45 / $137.07	Professional		$53.51	$59.45	$137.07
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $21.11 / $40.56	Professional	26	$21.11	$21.11	$40.56
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $38.34 / $47.93	Professional	TC	$17.38	$38.34	$47.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $99.53 / $240.27	Professional		$47.02	$99.53	$240.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $36.64 / $84.89	Professional	26	$21.25	$36.64	$84.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $44.89 / $155.38	Professional	TC	$21.24	$44.89	$155.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $62.11 / $131.54	Professional		$51.75	$62.11	$131.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.67 / $21.25 / $44.46	Professional	26	$18.67	$21.25	$44.46
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $40.86 / $87.10	Professional	TC	$33.08	$40.86	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $68.09 / $158.24	Professional		$38.10	$68.09	$158.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $27.39 / $56.38	Professional	26	$16.64	$27.39	$56.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $39.15 / $104.76	Professional	TC	$18.39	$39.15	$104.76