Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.74 / $35.11 / $68.91	Facility	26	$8.74	$35.11	$68.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $31.12 / $38.02	Professional		$28.74	$31.12	$38.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $8.74 / $11.38	Professional	26	$8.39	$8.74	$11.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.35 / $22.38 / $27.19	Professional	TC	$20.35	$22.38	$27.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $35.92 / $98.27	Professional		$33.04	$35.92	$98.27
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $10.84 / $11.82	Professional	26	$9.75	$10.84	$11.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $25.00 / $27.04	Professional	TC	$22.21	$25.00	$27.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $43.25 / $132.37	Professional		$28.94	$43.25	$132.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $13.97 / $37.24	Professional	26	$8.27	$13.97	$37.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $28.36 / $95.13	Professional	TC	$20.20	$28.36	$95.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $75.66 / $75.66	Professional		$34.36	$75.66	$75.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $20.84 / $20.84	Professional	26	$9.82	$20.84	$20.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $54.82 / $54.82	Professional	TC	$24.54	$54.82	$54.82
United Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $44.73 / $95.87	Professional		$24.25	$44.73	$95.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $13.81 / $26.40	Professional	26	$7.13	$13.81	$26.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $31.22 / $69.47	Professional	TC	$17.03	$31.22	$69.47