Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $37.95 / $74.48	Facility	26	$8.36	$37.95	$74.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $32.14 / $37.31	Professional		$29.91	$32.14	$37.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $8.36 / $10.70	Professional	26	$8.07	$8.36	$10.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $23.10 / $27.11	Professional	TC	$21.84	$23.10	$27.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $37.31 / $103.69	Professional		$34.14	$37.31	$103.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $10.38 / $17.13	Professional	26	$9.34	$10.38	$17.13
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $26.93 / $41.23	Professional	TC	$23.76	$26.93	$41.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $43.24 / $139.25	Professional		$30.13	$43.24	$139.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $14.08 / $35.61	Professional	26	$7.93	$14.08	$35.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $29.67 / $103.64	Professional	TC	$21.83	$29.67	$103.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $79.59 / $79.59	Professional		$35.79	$79.59	$79.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $20.73 / $20.73	Professional	26	$9.41	$20.73	$20.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.36 / $58.87 / $58.87	Professional	TC	$26.36	$58.87	$58.87
United Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $39.58 / $100.86	Professional		$25.93	$39.58	$100.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $11.56 / $26.27	Professional	26	$7.60	$11.56	$26.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $33.01 / $74.59	Professional	TC	$18.03	$33.01	$74.59