Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $28.18	Professional	26	$7.94	$8.91	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $38.90	Professional	TC	$19.05	$25.12	$38.90
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.47 / $11.48	Professional	26	$10.00	$10.47	$11.48
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $27.54 / $33.88	Professional	TC	$26.30	$27.54	$33.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $28.84	Professional	26	$9.12	$12.02	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $67.61	Professional	TC	$21.88	$28.84	$67.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.59 / $23.99	Professional	26	$10.72	$12.59	$23.99
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.88 / $64.57	Professional	TC	$28.18	$33.88	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.49 / $30.20	Professional	26	$7.94	$13.49	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $83.18	Professional	TC	$20.89	$33.88	$83.18