Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $32.53 / $63.82	Facility	26	$7.50	$32.53	$63.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $31.20 / $31.23	Professional		$28.77	$31.20	$31.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $7.50 / $8.13	Professional	26	$7.23	$7.50	$8.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.54 / $23.27 / $23.70	Professional	TC	$21.54	$23.27	$23.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $96.33	Professional		$34.65	$34.65	$96.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.31 / $15.36	Professional	26	$8.38	$9.31	$15.36
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $25.35 / $41.83	Professional	TC	$22.81	$25.35	$41.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $43.28 / $134.19	Professional		$29.31	$43.28	$134.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $12.13 / $31.98	Professional	26	$7.11	$12.13	$31.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $30.29 / $102.22	Professional	TC	$21.70	$30.29	$102.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $76.65 / $76.65	Professional		$34.81	$76.65	$76.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $18.60 / $18.60	Professional	26	$8.44	$18.60	$18.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.36 / $58.05 / $58.05	Professional	TC	$26.36	$58.05	$58.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $31.40 / $97.13	Professional		$24.45	$31.40	$97.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $9.52 / $23.57	Professional	26	$6.60	$9.52	$23.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $32.49 / $73.56	Professional	TC	$17.64	$32.49	$73.56