Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $9.64 / $9.86	Professional	26	$9.25	$9.64	$9.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $26.66 / $26.66	Professional	TC	$24.23	$26.66	$26.66
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $11.55 / $12.59	Professional	26	$10.40	$11.55	$12.59
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $28.20 / $30.74	Professional	TC	$26.89	$28.20	$30.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $15.11 / $41.08	Professional	26	$9.13	$15.11	$41.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $35.45 / $116.41	Professional	TC	$24.18	$35.45	$116.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $23.88 / $23.88	Professional	26	$10.84	$23.88	$23.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.30 / $65.31 / $65.31	Professional	TC	$29.30	$65.31	$65.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.20 / $30.26	Professional	26	$8.13	$12.20	$30.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $39.82 / $82.76	Professional	TC	$20.72	$39.82	$82.76