Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $21.38 / $51.71	Facility	26	$7.50	$21.38	$51.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $34.14 / $38.71	Professional		$33.35	$34.14	$38.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $7.50 / $17.30	Professional	26	$7.23	$7.50	$17.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $26.91 / $29.62	Professional	TC	$25.57	$26.91	$29.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.74 / $83.49	Professional		$35.09	$41.74	$83.49
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 $27.15 / $30.47 / $33.21	Professional	TC	$27.15	$30.47	$33.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $47.41 / $158.32	Professional		$30.35	$47.41	$158.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $12.13 / $31.98	Professional	26	$7.11	$12.13	$31.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $33.47 / $126.34	Professional	TC	$22.21	$33.47	$126.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $89.56 / $89.56	Professional		$40.67	$89.56	$89.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $17.79 / $17.79	Professional	26	$8.44	$17.79	$17.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $71.77 / $71.77	Professional	TC	$32.22	$71.77	$71.77
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $43.93 / $113.48	Professional		$26.04	$43.93	$113.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $9.52 / $22.54	Professional	26	$6.60	$9.52	$22.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.61 / $33.95 / $90.94	Professional	TC	$19.61	$33.95	$90.94