Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $45.71 / $66.07	Facility	26	$8.91	$45.71	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $91.20	Professional		$30.20	$36.31	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $40.74	Professional	26	$8.91	$14.13	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.30 / $64.57	Professional	TC	$20.89	$26.30	$64.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $42.66 / $158.49	Professional		$9.77	$42.66	$158.49
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.96 / $13.49	Professional	26	$9.77	$10.96	$13.49
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $30.90 / $33.88	Professional	TC	$28.18	$30.90	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $95.50	Professional		$33.11	$48.98	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $27.54	Professional	26	$8.91	$13.80	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.88 / $69.18	Professional	TC	$22.39	$33.88	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $89.13	Professional		$39.81	$47.86	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.30 / $24.55	Professional	26	$10.72	$12.30	$24.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $35.48 / $66.07	Professional	TC	$29.51	$35.48	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $112.20	Professional		$31.62	$48.98	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.49 / $28.84	Professional	26	$9.33	$13.49	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $83.18	Professional	TC	$22.39	$31.62	$83.18