Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $54.95 / $61.66	Facility	26	$21.88	$54.95	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $295.12	Professional		$91.20	$138.04	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $91.20	Professional	26	$21.88	$32.36	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.11 / $144.54	Professional	TC	$67.61	$85.11	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $457.09	Professional		$38.90	$109.65	$457.09
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $25.70 / $42.66	Professional	26	$23.44	$25.70	$42.66
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $83.18 / $91.20	Professional	TC	$57.54	$83.18	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $281.84	Professional		$102.33	$128.82	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $66.07	Professional	26	$23.99	$32.36	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $95.50 / $218.78	Professional	TC	$75.86	$95.50	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $234.42	Professional		$107.15	$117.49	$234.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $26.92 / $53.70	Professional	26	$25.70	$26.92	$53.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $89.13 / $177.83	Professional	TC	$81.28	$89.13	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $234.42	Professional		$85.11	$120.23	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $56.23	Professional	26	$22.39	$30.90	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $181.97	Professional	TC	$63.10	$89.13	$181.97