Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $36.65 / $98.31	Facility	26	$11.35	$36.65	$98.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $40.65 / $84.36	Professional		$37.54	$40.65	$84.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $11.35 / $27.46	Professional	26	$10.93	$11.35	$27.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $27.74 / $35.78	Professional	TC	$26.62	$27.74	$35.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $46.94 / $114.89	Professional		$42.87	$46.94	$114.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $14.10 / $15.37	Professional	26	$12.69	$14.10	$15.37
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $30.13 / $32.84	Professional	TC	$28.77	$30.13	$32.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $53.29 / $173.26	Professional		$37.90	$53.29	$173.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $18.97 / $48.34	Professional	26	$10.77	$18.97	$48.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.25 / $32.86 / $124.92	Professional	TC	$25.25	$32.86	$124.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $99.93 / $99.93	Professional		$45.02	$99.93	$99.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $28.17 / $28.17	Professional	26	$12.79	$28.17	$28.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $71.77 / $71.77	Professional	TC	$32.22	$71.77	$71.77
United Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $45.01 / $126.62	Professional		$31.81	$45.01	$126.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $18.11 / $35.70	Professional	26	$10.19	$18.11	$35.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $27.79 / $90.92	Professional	TC	$21.64	$27.79	$90.92