Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.21 / $33.28 / $81.91	Facility	26	$27.21	$33.28	$81.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $51.51 / $124.65	Professional		$47.39	$51.51	$124.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $13.92 / $30.28	Professional	26	$11.23	$13.92	$30.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.15 / $39.83 / $96.38	Professional	TC	$36.15	$39.83	$96.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $62.02 / $146.04	Professional		$58.13	$62.02	$146.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $17.12 / $28.25	Professional	26	$15.40	$17.12	$28.25
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $40.84 / $44.70 / $67.67	Professional	TC	$40.84	$44.70	$67.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $65.62 / $220.08	Professional		$49.01	$65.62	$220.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $20.05 / $49.76	Professional	26	$11.08	$20.05	$49.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $42.16 / $170.32	Professional	TC	$34.88	$42.16	$170.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $127.35 / $127.35	Professional		$58.21	$127.35	$127.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $28.17 / $28.17	Professional	26	$13.16	$28.17	$28.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $45.05 / $99.20 / $99.20	Professional	TC	$45.05	$99.20	$99.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $60.94 / $161.37	Professional		$42.31	$60.94	$161.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $18.64 / $37.44	Professional	26	$11.84	$18.64	$37.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.99 / $40.77 / $125.67	Professional	TC	$29.99	$40.77	$125.67