Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.11 / $101.90 / $114.29	Facility	26	$42.11	$101.90	$114.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $92.24 / $234.03	Professional		$84.00	$92.24	$234.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $43.82 / $79.16	Professional	26	$41.13	$43.82	$79.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $51.12 / $102.64	Professional	TC	$40.17	$51.12	$102.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $98.02 / $106.84	Professional		$88.22	$98.02	$106.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $41.56 / $45.30	Professional	26	$37.40	$41.56	$45.30
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $50.82 / $56.46 / $61.54	Professional	TC	$50.82	$56.46	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $216.30 / $407.16	Professional		$99.40	$216.30	$407.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.77 / $89.34 / $189.91	Professional	26	$47.77	$89.34	$189.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.61 / $126.96 / $217.25	Professional	TC	$47.61	$126.96	$217.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $224.39 / $224.39	Professional		$98.97	$224.39	$224.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.13 / $98.57 / $98.57	Professional	26	$45.13	$98.57	$98.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $53.85 / $125.82 / $125.82	Professional	TC	$53.85	$125.82	$125.82
United Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $128.69 / $284.16	Professional		$78.83	$128.69	$284.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $57.77 / $124.82	Professional	26	$37.63	$57.77	$124.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.20 / $68.59 / $159.34	Professional	TC	$41.20	$68.59	$159.34