Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $52.48 / $87.10	Facility	26	$10.96	$52.48	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $97.72	Professional		$33.88	$44.67	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $60.26	Professional	26	$10.96	$12.88	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $69.18	Professional	TC	$21.88	$31.62	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $169.82	Professional		$27.54	$50.12	$169.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $13.80 / $15.49	Professional	26	$12.59	$13.80	$15.49
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $39.81 / $67.61	Professional	TC	$35.48	$39.81	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $117.49	Professional		$38.90	$51.29	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.85 / $35.48	Professional	26	$11.48	$15.85	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $87.10	Professional	TC	$27.54	$36.31	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $114.82	Professional		$50.12	$58.88	$114.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.49 / $29.51	Professional	26	$13.49	$15.49	$29.51
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $83.18	Professional	TC	$36.31	$43.65	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $144.54	Professional		$35.48	$56.23	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $38.02	Professional	26	$10.72	$16.98	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $107.15	Professional	TC	$25.12	$39.81	$107.15