Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $27.22 / $68.91	Facility	26	$9.55	$27.22	$68.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $37.86 / $42.02	Professional		$34.93	$37.86	$42.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $9.55 / $11.89	Professional	26	$9.21	$9.55	$11.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $28.03 / $31.42	Professional	TC	$25.72	$28.03	$31.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $43.60 / $115.38	Professional		$40.46	$43.60	$115.38
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $11.50 / $12.54	Professional	26	$10.35	$11.50	$12.54
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $31.57 / $32.42	Professional	TC	$28.88	$31.57	$32.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $50.44 / $161.33	Professional		$35.58	$50.44	$161.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $15.06 / $40.65	Professional	26	$9.06	$15.06	$40.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.39 / $34.42 / $120.66	Professional	TC	$26.39	$34.42	$120.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $93.85 / $93.85	Professional		$42.26	$93.85	$93.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $23.70 / $23.70	Professional	26	$10.76	$23.70	$23.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $70.15 / $70.15	Professional	TC	$31.49	$70.15	$70.15
United Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $45.36 / $118.92	Professional		$30.48	$45.36	$118.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $10.72 / $30.03	Professional	26	$8.53	$10.72	$30.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.83 / $39.68 / $88.89	Professional	TC	$22.83	$39.68	$88.89