Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.26 / $37.70 / $98.31	Facility	26	$12.26	$37.70	$98.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $40.92 / $46.04	Professional		$39.01	$40.92	$46.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $12.18 / $15.30	Professional	26	$11.79	$12.18	$15.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $28.75 / $29.95	Professional	TC	$27.21	$28.75	$29.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $48.08 / $127.99	Professional		$44.38	$48.08	$127.99
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $14.51 / $23.94	Professional	26	$13.06	$14.51	$23.94
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.87 / $33.57 / $50.85	Professional	TC	$29.87	$33.57	$50.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $54.49 / $179.94	Professional		$39.38	$54.49	$179.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $19.77 / $52.18	Professional	26	$11.63	$19.77	$52.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.37 / $36.10 / $127.76	Professional	TC	$27.37	$36.10	$127.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $103.79 / $103.79	Professional		$46.77	$103.79	$103.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $30.41 / $30.41	Professional	26	$13.80	$30.41	$30.41
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $73.38 / $73.38	Professional	TC	$32.96	$73.38	$73.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $47.25 / $131.51	Professional		$32.99	$47.25	$131.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $20.07 / $38.53	Professional	26	$10.21	$20.07	$38.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.83 / $69.41 / $92.98	Professional	TC	$22.83	$69.41	$92.98