Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $25.70 / $79.43	Facility	26	$10.96	$25.70	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $104.71	Professional		$32.36	$41.69	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.45 / $50.12	Professional	26	$10.00	$14.45	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $57.54	Professional	TC	$20.89	$28.18	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $43.65 / $154.88	Professional		$11.75	$43.65	$154.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $33.11	Professional	26	$11.22	$14.45	$33.11
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $35.48 / $46.77	Professional	TC	$31.62	$35.48	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $123.03	Professional		$34.67	$45.71	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $33.11	Professional	26	$10.47	$15.14	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $87.10	Professional	TC	$22.91	$30.90	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $100.00	Professional		$47.86	$56.23	$100.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.14 / $27.54	Professional	26	$13.18	$15.14	$27.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $40.74 / $74.13	Professional	TC	$33.88	$40.74	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $128.82	Professional		$32.36	$50.12	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.85 / $34.67	Professional	26	$10.47	$15.85	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $93.33	Professional	TC	$21.88	$34.67	$93.33