Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $31.62 / $79.43	Facility	26	$10.96	$31.62	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $147.91	Professional		$39.81	$54.95	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $44.67	Professional	26	$10.96	$16.98	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $93.33	Professional	TC	$28.84	$38.90	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $54.95 / $199.53	Professional		$13.49	$54.95	$199.53
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.18 / $30.90	Professional	26	$11.48	$13.18	$30.90
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $45.71 / $66.07	Professional	TC	$38.90	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $147.91	Professional		$42.66	$60.26	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $35.48	Professional	26	$10.96	$17.38	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $97.72	Professional	TC	$31.62	$41.69	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $123.03	Professional		$57.54	$67.61	$123.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.14 / $30.90	Professional	26	$13.18	$15.14	$30.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $52.48 / $95.50	Professional	TC	$43.65	$52.48	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $154.88	Professional		$44.67	$58.88	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.49 / $34.67	Professional	26	$11.75	$15.49	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.65 / $120.23	Professional	TC	$32.36	$43.65	$120.23