Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.30 / $58.94 / $64.56	Facility	26	$25.30	$58.94	$64.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $60.21 / $109.25	Professional		$56.75	$60.21	$109.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.69 / $25.30 / $36.85	Professional	26	$24.69	$25.30	$36.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.06 / $34.90 / $41.48	Professional	TC	$32.06	$34.90	$41.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $64.23 / $157.62	Professional		$64.23	$64.23	$157.62
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $28.80 / $41.76	Professional	26	$28.80	$28.80	$41.76
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $35.43 / $35.43 / $45.00	Professional	TC	$35.43	$35.43	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $82.06 / $258.64	Professional		$59.78	$82.06	$258.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.90 / $34.01 / $108.90	Professional	26	$26.90	$34.01	$108.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $44.72 / $155.13	Professional	TC	$32.90	$44.72	$155.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $74.14 / $146.88	Professional		$67.08	$74.14	$146.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $30.03 / $59.82	Professional	26	$27.27	$30.03	$59.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $39.90 / $44.11 / $87.08	Professional	TC	$39.90	$44.11	$87.08
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $61.02 / $176.71	Professional		$47.05	$61.02	$176.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.96 / $28.83 / $75.76	Professional	26	$21.96	$28.83	$75.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $35.60 / $104.74	Professional	TC	$24.83	$35.60	$104.74