Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $27.54 / $69.18	Facility	26	$8.91	$27.54	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $97.72	Professional		$32.36	$40.74	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $33.88	Professional	26	$8.91	$12.02	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $70.79	Professional	TC	$22.91	$30.20	$70.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $190.55	Professional		$33.88	$45.71	$190.55
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.48 / $12.30	Professional	26	$10.23	$11.48	$12.30
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $33.11 / $38.02	Professional	TC	$30.90	$33.11	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $117.49	Professional		$36.31	$53.70	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $28.84	Professional	26	$9.12	$13.18	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $39.81 / $79.43	Professional	TC	$26.30	$39.81	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $95.50	Professional		$44.67	$53.70	$95.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.88 / $23.99	Professional	26	$11.22	$12.88	$23.99
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $40.74 / $72.44	Professional	TC	$33.88	$40.74	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $123.03	Professional		$38.02	$51.29	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.49 / $30.20	Professional	26	$8.51	$13.49	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $91.20	Professional	TC	$27.54	$38.90	$91.20