Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $38.90 / $89.13	Facility	26	$12.02	$38.90	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $102.33	Professional		$33.88	$40.74	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $44.67	Professional	26	$10.96	$16.98	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.18 / $61.66	Professional	TC	$18.62	$28.18	$61.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $48.98 / $162.18	Professional		$14.45	$48.98	$162.18
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.13 / $28.84	Professional	26	$12.88	$14.13	$28.84
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $30.90 / $32.36	Professional	TC	$29.51	$30.90	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $125.89	Professional		$36.31	$51.29	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.14 / $36.31	Professional	26	$11.48	$15.14	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.88 / $75.86	Professional	TC	$24.55	$33.88	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $104.71	Professional		$45.71	$54.95	$104.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $15.85 / $30.20	Professional	26	$13.80	$15.85	$30.20
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $38.90 / $74.13	Professional	TC	$31.62	$38.90	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $131.83	Professional		$33.11	$51.29	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.78 / $38.90	Professional	26	$10.23	$17.78	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $93.33	Professional	TC	$22.91	$34.67	$93.33