Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.45 / $29.90 / $82.55	Facility	26	$10.45	$29.90	$82.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $42.71 / $45.95	Professional		$39.36	$42.71	$45.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.07 / $10.82	Professional	26	$9.98	$10.07	$10.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.30 / $32.26 / $35.09	Professional	TC	$29.30	$32.26	$35.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $48.76 / $136.25	Professional		$48.40	$48.76	$136.25
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $11.87 / $18.97	Professional	26	$10.68	$11.87	$18.97
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $33.20 / $36.89 / $60.87	Professional	TC	$33.20	$36.89	$60.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $57.15 / $183.61	Professional		$40.45	$57.15	$183.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $15.70 / $44.50	Professional	26	$9.92	$15.70	$44.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.53 / $41.85 / $139.11	Professional	TC	$30.53	$41.85	$139.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $105.76 / $105.76	Professional		$48.03	$105.76	$105.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $25.94 / $25.94	Professional	26	$11.78	$25.94	$25.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.25 / $79.81 / $79.81	Professional	TC	$36.25	$79.81	$79.81
United Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $62.17 / $134.01	Professional		$35.65	$62.17	$134.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $13.89 / $32.86	Professional	26	$8.53	$13.89	$32.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.93 / $74.84 / $101.14	Professional	TC	$27.93	$74.84	$101.14