Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $32.36 / $53.70	Facility	26	$7.08	$32.36	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $67.61	Professional		$25.12	$30.90	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.94 / $28.84	Professional	26	$7.08	$7.94	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $48.98	Professional	TC	$15.85	$21.88	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $36.31 / $123.03	Professional		$9.77	$36.31	$123.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $18.62	Professional	26	$7.94	$8.91	$18.62
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.12 / $53.70	Professional	TC	$23.44	$25.12	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $79.43	Professional		$26.30	$38.02	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $22.39	Professional	26	$7.08	$10.00	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $60.26	Professional	TC	$19.50	$28.18	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $75.86	Professional		$34.67	$40.74	$75.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.00 / $18.62	Professional	26	$8.71	$10.00	$18.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.90 / $57.54	Professional	TC	$25.70	$30.90	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $97.72	Professional		$24.55	$37.15	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $23.44	Professional	26	$6.61	$10.47	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $74.13	Professional	TC	$18.20	$27.54	$74.13