Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $38.02 / $63.10	Facility	26	$7.94	$38.02	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $48.98	Professional		$15.14	$16.98	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $44.67	Professional	26	$7.94	$10.00	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $7.94 / $16.22	Professional	TC	$6.03	$7.94	$16.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.89 / $112.20	Professional		$10.72	$20.89	$112.20
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $9.77 / $12.02	Professional	26	$9.55	$9.77	$12.02
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $10.00 / $25.12	Professional	TC	$9.33	$10.00	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $52.48	Professional		$16.98	$29.51	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.02 / $25.70	Professional	26	$8.51	$12.02	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $14.13 / $26.30	Professional	TC	$7.94	$14.13	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $42.66	Professional		$20.89	$24.55	$42.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.02 / $21.38	Professional	26	$10.47	$12.02	$21.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $12.59 / $20.89	Professional	TC	$10.47	$12.59	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $53.70	Professional		$18.20	$26.92	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $27.54	Professional	26	$7.76	$12.59	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $12.59 / $26.30	Professional	TC	$8.51	$12.59	$26.30