Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $27.33 / $69.15	Facility	26	$9.59	$27.33	$69.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $39.22 / $52.17	Professional		$36.14	$39.22	$52.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $10.02 / $23.20	Professional	26	$9.23	$10.02	$23.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.91 / $29.62 / $41.42	Professional	TC	$26.91	$29.62	$41.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $46.09 / $134.01	Professional		$45.87	$46.09	$134.01
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $13.09 / $14.27	Professional	26	$11.78	$13.09	$14.27
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.70 / $33.00 / $39.04	Professional	TC	$29.70	$33.00	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $57.40 / $168.63	Professional		$36.85	$57.40	$168.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $15.53 / $40.86	Professional	26	$9.15	$15.53	$40.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $41.01 / $127.76	Professional	TC	$27.75	$41.01	$127.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $96.35 / $96.35	Professional		$43.76	$96.35	$96.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $23.78 / $23.78	Professional	26	$10.80	$23.78	$23.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $72.56 / $72.56	Professional	TC	$32.96	$72.56	$72.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $57.11 / $122.09	Professional		$38.07	$57.11	$122.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $22.31 / $30.14	Professional	26	$9.23	$22.31	$30.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $32.17 / $91.95	Professional	TC	$27.86	$32.17	$91.95