Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.07 / $25.79 / $79.79	Facility	26	$11.07	$25.79	$79.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $37.86 / $44.48	Professional		$37.38	$37.86	$44.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $11.07 / $26.78	Professional	26	$10.65	$11.07	$26.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.01 / $27.21 / $29.95	Professional	TC	$25.01	$27.21	$29.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $48.42 / $115.86	Professional		$42.50	$48.42	$115.86
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $15.02 / $16.37	Professional	26	$13.52	$15.02	$16.37
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $30.82 / $33.59	Professional	TC	$27.73	$30.82	$33.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $56.05 / $174.89	Professional		$34.96	$56.05	$174.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $18.47 / $47.13	Professional	26	$10.50	$18.47	$47.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $37.00 / $127.76	Professional	TC	$24.87	$37.00	$127.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $100.82 / $100.82	Professional		$46.16	$100.82	$100.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $27.44 / $27.44	Professional	26	$12.46	$27.44	$27.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.69 / $73.38 / $73.38	Professional	TC	$33.69	$73.38	$73.38
United Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $93.57 / $127.75	Professional		$33.08	$93.57	$127.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $18.00 / $34.77	Professional	26	$10.48	$18.00	$34.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $41.80 / $92.98	Professional	TC	$21.78	$41.80	$92.98