Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.16 / $30.66 / $92.55	Facility	26	$13.16	$30.66	$92.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.27 / $72.84 / $220.38	Facility	TC	$31.27	$72.84	$220.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $41.06 / $47.94	Professional		$40.96	$41.06	$47.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $13.16 / $16.61	Professional	26	$12.65	$13.16	$16.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.78 / $28.41 / $31.27	Professional	TC	$25.78	$28.41	$31.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $51.91 / $230.95	Professional		$50.37	$51.91	$230.95
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.37 / $18.19 / $19.82	Professional	26	$16.37	$18.19	$19.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $31.21 / $32.18 / $35.08	Professional	TC	$31.21	$32.18	$35.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $61.14 / $189.45	Professional		$37.53	$61.14	$189.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $22.58 / $56.02	Professional	26	$12.48	$22.58	$56.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $37.52 / $133.43	Professional	TC	$25.14	$37.52	$133.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $107.63 / $107.63	Professional		$48.88	$107.63	$107.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $31.83 / $31.83	Professional	26	$14.82	$31.83	$31.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.06 / $75.80 / $75.80	Professional	TC	$34.06	$75.80	$75.80
United Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $63.74 / $136.38	Professional		$34.85	$63.74	$136.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $18.54 / $40.34	Professional	26	$12.76	$18.54	$40.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $63.72 / $96.04	Professional	TC	$22.18	$63.72	$96.04