Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.78 / $44.46 / $116.98	Facility	26	$13.78	$44.46	$116.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.64 / $63.26	Professional		$46.77	$50.64	$63.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $13.78 / $33.34	Professional	26	$13.29	$13.78	$33.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $36.86 / $46.38	Professional	TC	$33.47	$36.86	$46.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $58.12 / $147.02	Professional		$56.11	$58.12	$147.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $17.11 / $18.64	Professional	26	$15.40	$17.11	$18.64
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $36.90 / $41.01 / $44.70	Professional	TC	$36.90	$41.01	$44.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $69.73 / $216.20	Professional		$47.29	$69.73	$216.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $22.69 / $57.23	Professional	26	$13.06	$22.69	$57.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.22 / $45.26 / $158.97	Professional	TC	$34.22	$45.26	$158.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $124.46 / $124.46	Professional		$56.15	$124.46	$124.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.50 / $34.15 / $34.15	Professional	26	$15.50	$34.15	$34.15
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $90.31 / $90.31	Professional	TC	$40.65	$90.31	$90.31
United Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $73.81 / $157.71	Professional		$42.27	$73.81	$157.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $21.96 / $43.27	Professional	26	$13.57	$21.96	$43.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.16 / $66.25 / $114.44	Professional	TC	$30.16	$66.25	$114.44