Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $151.36	Professional		$79.43	$87.10	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $44.67 / $70.79	Professional	26	$39.81	$44.67	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $43.65 / $79.43	Professional	TC	$37.15	$43.65	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $79.43 / $275.42	Professional		$40.74	$79.43	$275.42
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.90 / $48.98	Professional	26	$36.31	$38.90	$48.98
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $45.71 / $54.95	Professional	TC	$39.81	$45.71	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $371.54	Professional		$67.61	$131.83	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $70.79 / $186.21	Professional	26	$46.77	$70.79	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $69.18 / $190.55	Professional	TC	$16.98	$69.18	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $204.17	Professional		$97.72	$112.20	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $52.48 / $95.50	Professional	26	$45.71	$52.48	$95.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $60.26 / $107.15	Professional	TC	$51.29	$60.26	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $257.04	Professional		$58.88	$138.04	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $83.18 / $123.03	Professional	26	$34.67	$83.18	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $75.86 / $134.90	Professional	TC	$23.44	$75.86	$134.90