Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $32.53 / $63.82	Facility	26	$7.79	$32.53	$63.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $31.49 / $33.11	Professional		$28.76	$31.49	$33.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $7.79 / $9.47	Professional	26	$7.51	$7.79	$9.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $23.70 / $23.70	Professional	TC	$21.00	$23.70	$23.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $35.83 / $72.39	Professional		$29.59	$35.83	$72.39
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $8.90 / $9.69	Professional	26	$8.01	$8.90	$9.69
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $24.31 / $26.93	Professional	TC	$21.66	$24.31	$26.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $40.70 / $134.00	Professional		$26.56	$40.70	$134.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $11.67 / $33.19	Professional	26	$7.31	$11.67	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $27.81 / $100.80	Professional	TC	$18.19	$27.81	$100.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $77.36 / $77.36	Professional		$35.50	$77.36	$77.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $18.50 / $18.50	Professional	26	$8.77	$18.50	$18.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.73 / $58.87 / $58.87	Professional	TC	$26.73	$58.87	$58.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $34.11 / $98.03	Professional		$22.92	$34.11	$98.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $9.14 / $23.44	Professional	26	$6.55	$9.14	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $53.39 / $74.59	Professional	TC	$16.37	$53.39	$74.59