Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.26 / $45.99 / $90.16	Facility	26	$9.26	$45.99	$90.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $36.26 / $39.19	Professional		$33.46	$36.26	$39.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $9.26 / $11.51	Professional	26	$8.93	$9.26	$11.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.53 / $26.99 / $27.69	Professional	TC	$24.53	$26.99	$27.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $42.97 / $124.95	Professional		$42.97	$42.97	$124.95
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $13.39 / $14.60	Professional	26	$12.05	$13.39	$14.60
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $29.58 / $34.10	Professional	TC	$26.62	$29.58	$34.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $53.57 / $155.86	Professional		$34.07	$53.57	$155.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $15.94 / $39.45	Professional	26	$8.84	$15.94	$39.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $36.10 / $116.41	Professional	TC	$25.29	$36.10	$116.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $89.09 / $89.09	Professional		$40.46	$89.09	$89.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.43 / $22.97 / $22.97	Professional	26	$10.43	$22.97	$22.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $66.12 / $66.12	Professional	TC	$30.03	$66.12	$66.12
United Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $83.54 / $112.89	Professional		$31.54	$83.54	$112.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.76 / $29.22	Professional	26	$9.33	$12.76	$29.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $37.56 / $83.78	Professional	TC	$21.55	$37.56	$83.78