Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.00 / $77.43 / $86.84	Facility	26	$32.00	$77.43	$86.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.92 / $116.13	Professional		$64.31	$98.92	$116.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $32.00 / $40.04	Professional	26	$31.19	$32.00	$40.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $67.50 / $73.95	Professional	TC	$33.03	$67.50	$73.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $105.97 / $153.11	Professional		$67.08	$105.97	$153.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $31.35 / $39.22	Professional	26	$28.22	$31.35	$39.22
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.15 / $74.62 / $81.34	Professional	TC	$38.15	$74.62	$81.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $259.30 / $441.69	Professional		$78.59	$259.30	$441.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.28 / $81.69 / $143.87	Professional	26	$36.28	$81.69	$143.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.69 / $146.21 / $297.82	Professional	TC	$22.69	$146.21	$297.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $245.63 / $245.63	Professional		$108.62	$245.63	$245.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.28 / $75.47 / $75.47	Professional	26	$34.28	$75.47	$75.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $170.16 / $170.16	Professional	TC	$74.34	$170.16	$170.16
United Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $230.18 / $311.06	Professional		$51.43	$230.18	$311.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $45.48 / $95.58	Professional	26	$25.71	$45.48	$95.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $114.79 / $215.48	Professional	TC	$25.09	$114.79	$215.48