Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.07 / $35.72 / $95.73	Facility	26	$11.07	$35.72	$95.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $43.91 / $55.72	Professional		$41.74	$43.91	$55.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $11.07 / $14.71	Professional	26	$10.65	$11.07	$14.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $31.68 / $41.92	Professional	TC	$31.09	$31.68	$41.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $52.48 / $125.90	Professional		$46.32	$52.48	$125.90
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $13.75 / $14.99	Professional	26	$12.37	$13.75	$14.99
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $32.57 / $35.94 / $39.17	Professional	TC	$32.57	$35.94	$39.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $60.19 / $196.17	Professional		$41.30	$60.19	$196.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $18.42 / $47.13	Professional	26	$10.50	$18.42	$47.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.16 / $40.61 / $149.04	Professional	TC	$29.16	$40.61	$149.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $112.12 / $112.12	Professional		$50.19	$112.12	$112.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $27.44 / $27.44	Professional	26	$12.46	$27.44	$27.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.72 / $84.66 / $84.66	Professional	TC	$37.72	$84.66	$84.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $55.27 / $142.08	Professional		$34.57	$55.27	$142.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $18.18 / $34.78	Professional	26	$9.90	$18.18	$34.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.67 / $32.85 / $107.30	Professional	TC	$24.67	$32.85	$107.30