Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.79 / $31.55 / $79.79	Facility	26	$25.79	$31.55	$79.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $49.58 / $117.39	Professional		$39.82	$49.58	$117.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $12.03 / $26.78	Professional	26	$10.65	$12.03	$26.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.97 / $38.51 / $93.19	Professional	TC	$34.97	$38.51	$93.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $60.11 / $148.28	Professional		$53.22	$60.11	$148.28
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 $36.10 / $40.58 / $61.43	Professional	TC	$36.10	$40.58	$61.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $71.30 / $211.78	Professional		$47.20	$71.30	$211.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $19.01 / $47.13	Professional	26	$10.81	$19.01	$47.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.39 / $47.84 / $164.65	Professional	TC	$36.39	$47.84	$164.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $123.41 / $123.41	Professional		$56.05	$123.41	$123.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.83 / $27.44 / $27.44	Professional	26	$12.83	$27.44	$27.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.22 / $95.96 / $95.96	Professional	TC	$43.22	$95.96	$95.96
United Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $53.25 / $156.37	Professional		$43.84	$53.25	$156.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $17.48 / $37.45	Professional	26	$11.77	$17.48	$37.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $52.38 / $121.60	Professional	TC	$32.00	$52.38	$121.60