Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $22.20 / $56.15	Facility	26	$7.79	$22.20	$56.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $28.16 / $32.77	Professional		$27.71	$28.16	$32.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $7.79 / $17.30	Professional	26	$7.51	$7.79	$17.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $20.65 / $22.71	Professional	TC	$19.94	$20.65	$22.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $33.97 / $72.39	Professional		$28.68	$33.97	$72.39
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $8.90 / $9.69	Professional	26	$8.01	$8.90	$9.69
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $23.29 / $25.39	Professional	TC	$20.47	$23.29	$25.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $39.88 / $129.74	Professional		$25.38	$39.88	$129.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $11.85 / $33.19	Professional	26	$7.38	$11.85	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $27.22 / $96.54	Professional	TC	$18.14	$27.22	$96.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $74.13 / $74.13	Professional		$33.67	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $19.30 / $19.30	Professional	26	$8.77	$19.30	$19.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $54.82 / $54.82	Professional	TC	$24.90	$54.82	$54.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $43.75 / $93.94	Professional		$22.09	$43.75	$93.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $12.31 / $24.47	Professional	26	$6.60	$12.31	$24.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $52.51 / $69.47	Professional	TC	$15.67	$52.51	$69.47