Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.97 / $38.64 / $103.80	Facility	26	$11.97	$38.64	$103.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $46.20 / $49.74	Professional		$42.60	$46.20	$49.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $11.97 / $14.96	Professional	26	$11.51	$11.97	$14.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $34.22 / $34.22	Professional	TC	$31.09	$34.22	$34.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $53.24 / $128.96	Professional		$47.74	$53.24	$128.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $14.87 / $24.54	Professional	26	$13.38	$14.87	$24.54
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $38.36 / $59.30	Professional	TC	$32.86	$38.36	$59.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $61.19 / $200.01	Professional		$42.79	$61.19	$200.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $19.87 / $50.97	Professional	26	$11.35	$19.87	$50.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.52 / $40.61 / $149.04	Professional	TC	$29.52	$40.61	$149.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $113.55 / $113.55	Professional		$51.21	$113.55	$113.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $29.70 / $29.70	Professional	26	$13.48	$29.70	$29.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.72 / $83.87 / $83.87	Professional	TC	$37.72	$83.87	$83.87
United Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $56.03 / $143.88	Professional		$35.71	$56.03	$143.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $15.91 / $37.63	Professional	26	$10.74	$15.91	$37.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $48.14 / $106.25	Professional	TC	$24.97	$48.14	$106.25