Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $38.02 / $81.28	Facility	26	$10.96	$38.02	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.90 / $107.15	Professional		$17.38	$38.90	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.38 / $38.02	Professional	26	$10.00	$17.38	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $60.26	Professional	TC	$21.88	$28.84	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $43.65 / $151.36	Professional		$13.49	$43.65	$151.36
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.88 / $14.79	Professional	26	$12.02	$12.88	$14.79
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $31.62 / $37.15	Professional	TC	$28.84	$31.62	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $102.33	Professional		$34.67	$45.71	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $33.88	Professional	26	$10.72	$15.14	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.20 / $74.13	Professional	TC	$23.99	$30.20	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $100.00	Professional		$44.67	$53.70	$100.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.14 / $28.18	Professional	26	$13.18	$15.14	$28.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $38.02 / $72.44	Professional	TC	$31.62	$38.02	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $125.89	Professional		$31.62	$48.98	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.85 / $35.48	Professional	26	$10.23	$15.85	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $91.20	Professional	TC	$21.88	$33.88	$91.20