Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.69 / $37.95 / $77.39	Facility	26	$8.69	$37.95	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $16.92 / $21.21	Professional		$15.89	$16.92	$21.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $8.69 / $11.20	Professional	26	$8.36	$8.69	$11.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.52 / $8.23 / $11.48	Professional	TC	$7.52	$8.23	$11.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.05 / $92.04	Professional		$21.70	$22.05	$92.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $12.01 / $13.09	Professional	26	$10.81	$12.01	$13.09
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $9.03 / $10.03 / $16.57	Professional	TC	$9.03	$10.03	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $35.92 / $71.15	Professional		$16.87	$35.92	$71.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $14.94 / $37.03	Professional	26	$8.55	$14.94	$37.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $20.83 / $38.35	Professional	TC	$8.32	$20.83	$38.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $42.50 / $42.50	Professional		$20.04	$42.50	$42.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $21.55 / $21.55	Professional	26	$10.16	$21.55	$21.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $20.96 / $20.96	Professional	TC	$9.88	$20.96	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $26.84 / $53.86	Professional		$17.54	$26.84	$53.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $14.40 / $27.30	Professional	26	$7.70	$14.40	$27.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $12.71 / $26.56	Professional	TC	$8.66	$12.71	$26.56