Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.89 / $19.63 / $49.64	Facility	26	$6.89	$19.63	$49.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $23.68 / $28.75	Professional		$21.93	$23.68	$28.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $6.89 / $8.61	Professional	26	$6.65	$6.89	$8.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $16.79 / $20.23	Professional	TC	$15.28	$16.79	$20.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $25.69 / $69.33	Professional		$25.69	$25.69	$69.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $8.19 / $8.93	Professional	26	$7.37	$8.19	$8.93
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $17.50 / $19.07	Professional	TC	$15.75	$17.50	$19.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $32.47 / $100.36	Professional		$21.95	$32.47	$100.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $10.69 / $29.36	Professional	26	$6.53	$10.69	$29.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.42 / $21.00 / $71.01	Professional	TC	$15.42	$21.00	$71.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $57.38 / $57.38	Professional		$26.06	$57.38	$57.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $17.07 / $17.07	Professional	26	$7.75	$17.07	$17.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $40.31 / $40.31	Professional	TC	$18.30	$40.31	$40.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $29.01 / $72.70	Professional		$19.14	$29.01	$72.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.07 / $9.16 / $21.64	Professional	26	$6.07	$9.16	$21.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.13 / $23.82 / $51.07	Professional	TC	$13.13	$23.82	$51.07