Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.26 / $42.06 / $82.55	Facility	26	$9.26	$42.06	$82.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.67 / $39.88	Professional		$36.74	$37.67	$39.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $9.26 / $10.82	Professional	26	$8.93	$9.26	$10.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $27.81 / $30.61	Professional	TC	$27.69	$27.81	$30.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $45.81 / $112.29	Professional		$40.09	$45.81	$112.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $11.50 / $18.97	Professional	26	$10.35	$11.50	$18.97
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.66 / $34.31 / $52.54	Professional	TC	$28.66	$34.31	$52.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $52.50 / $171.47	Professional		$36.19	$52.50	$171.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $15.53 / $39.45	Professional	26	$8.78	$15.53	$39.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $35.97 / $132.01	Professional	TC	$25.96	$35.97	$132.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $97.98 / $97.98	Professional		$44.13	$97.98	$97.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.43 / $22.97 / $22.97	Professional	26	$10.43	$22.97	$22.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.69 / $74.98 / $74.98	Professional	TC	$33.69	$74.98	$74.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $43.86 / $124.15	Professional		$30.49	$43.86	$124.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $12.76 / $29.11	Professional	26	$8.38	$12.76	$29.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.95 / $66.73 / $95.04	Professional	TC	$21.95	$66.73	$95.04