Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.45 / $34.79 / $93.14	Facility	26	$10.45	$34.79	$93.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $41.72 / $49.20	Professional		$38.47	$41.72	$49.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $10.45 / $24.48	Professional	26	$10.07	$10.45	$24.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $31.27 / $35.26	Professional	TC	$28.39	$31.27	$35.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $48.40 / $106.29	Professional		$40.85	$48.40	$106.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $12.98 / $14.15	Professional	26	$11.68	$12.98	$14.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.28 / $32.86 / $35.82	Professional	TC	$29.28	$32.86	$35.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $55.04 / $180.77	Professional		$37.00	$55.04	$180.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $17.47 / $44.50	Professional	26	$10.22	$17.47	$44.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $36.47 / $136.27	Professional	TC	$25.66	$36.47	$136.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $103.34 / $103.34	Professional		$46.93	$103.34	$103.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $25.94 / $25.94	Professional	26	$12.14	$25.94	$25.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $77.41 / $77.41	Professional	TC	$34.79	$77.41	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $61.12 / $130.94	Professional		$31.90	$61.12	$130.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $17.20 / $32.86	Professional	26	$9.64	$17.20	$32.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $32.86 / $98.08	Professional	TC	$22.09	$32.86	$98.08