Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.17 / $34.92 / $90.63	Facility	26	$10.17	$34.92	$90.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $50.34 / $51.31	Professional		$47.15	$50.34	$51.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $10.17 / $11.38	Professional	26	$9.78	$10.17	$11.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.36 / $38.13 / $41.14	Professional	TC	$37.36	$38.13	$41.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $59.56 / $130.63	Professional		$50.40	$59.56	$130.63
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $13.44 / $14.65	Professional	26	$12.10	$13.44	$14.65
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.43 / $43.13 / $47.01	Professional	TC	$38.43	$43.13	$47.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $68.48 / $222.13	Professional		$44.43	$68.48	$222.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $16.97 / $43.29	Professional	26	$9.64	$16.97	$43.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $49.91 / $178.83	Professional	TC	$33.45	$49.91	$178.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $126.01 / $126.01	Professional		$57.23	$126.01	$126.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $25.21 / $25.21	Professional	26	$11.45	$25.21	$25.21
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $45.78 / $100.80 / $100.80	Professional	TC	$45.78	$100.80	$100.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $62.45 / $159.66	Professional		$38.61	$62.45	$159.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $16.73 / $31.94	Professional	26	$9.36	$16.73	$31.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $58.20 / $127.73	Professional	TC	$29.17	$58.20	$127.73