Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $33.84 / $66.33	Facility	26	$7.79	$33.84	$66.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $37.42 / $62.08	Professional		$34.36	$37.42	$62.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $7.79 / $18.85	Professional	26	$7.51	$7.79	$18.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $29.62 / $71.68	Professional	TC	$25.24	$29.62	$71.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $43.24 / $84.47	Professional		$35.76	$43.24	$84.47
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $9.67 / $10.54	Professional	26	$8.69	$9.67	$10.54
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.15 / $30.47 / $33.57	Professional	TC	$27.15	$30.47	$33.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $47.92 / $159.53	Professional		$31.14	$47.92	$159.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $12.63 / $33.19	Professional	26	$7.38	$12.63	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $33.15 / $126.34	Professional	TC	$21.60	$33.15	$126.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $92.69 / $92.69	Professional		$41.72	$92.69	$92.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $19.30 / $19.30	Professional	26	$8.77	$19.30	$19.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $73.38 / $73.38	Professional	TC	$32.96	$73.38	$73.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $104.53 / $117.45	Professional		$28.95	$104.53	$117.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.38 / $24.47	Professional	26	$7.08	$9.38	$24.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $68.80 / $92.98	Professional	TC	$21.34	$68.80	$92.98