Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $22.39 / $56.23	Facility	26	$7.08	$22.39	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $53.70	Professional		$21.88	$30.20	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $27.54	Professional	26	$7.08	$12.02	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $53.70	Professional	TC	$15.14	$21.88	$53.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $95.50	Professional		$20.42	$31.62	$95.50
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.91 / $10.00	Professional	26	$8.32	$8.91	$10.00
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.39 / $44.67	Professional	TC	$18.20	$22.39	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $77.62	Professional		$25.12	$33.11	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $23.44	Professional	26	$7.08	$10.00	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.44 / $57.54	Professional	TC	$16.60	$23.44	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $74.13	Professional		$33.11	$39.81	$74.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.47 / $19.50	Professional	26	$8.91	$10.47	$19.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.84 / $54.95	Professional	TC	$23.99	$28.84	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $93.33	Professional		$21.88	$37.15	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.96 / $24.55	Professional	26	$6.61	$10.96	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $26.30 / $69.18	Professional	TC	$15.49	$26.30	$69.18