Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.97 / $174.67 / $358.67	Facility	26	$33.97	$174.67	$358.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $71.98 / $102.76	Professional		$66.95	$71.98	$102.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $36.40 / $54.52	Professional	26	$33.97	$36.40	$54.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $38.02 / $52.42	Professional	TC	$22.57	$38.02	$52.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $80.23 / $216.00	Professional		$72.20	$80.23	$216.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $41.55 / $41.55 / $51.94	Professional	26	$41.55	$41.55	$51.94
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $38.68 / $48.35	Professional	TC	$21.24	$38.68	$48.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $136.57 / $317.08	Professional		$70.04	$136.57	$317.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.57 / $65.91 / $151.07	Professional	26	$37.57	$65.91	$151.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $54.32 / $153.94	Professional	TC	$25.99	$54.32	$153.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $78.43 / $166.50	Professional		$66.04	$78.43	$166.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $37.57 / $78.59	Professional	26	$32.97	$37.57	$78.59
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $40.86 / $87.89	Professional	TC	$33.08	$40.86	$87.89
United Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $86.65 / $200.30	Professional		$54.90	$86.65	$200.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $52.50 / $100.87	Professional	26	$34.04	$52.50	$100.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $37.42 / $105.74	Professional	TC	$20.60	$37.42	$105.74