Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.11 / $30.73 / $77.72	Facility	26	$25.11	$30.73	$77.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $40.74 / $84.66	Professional		$37.58	$40.74	$84.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $10.78 / $22.52	Professional	26	$10.37	$10.78	$22.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $29.95 / $31.94	Professional	TC	$27.21	$29.95	$31.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $48.02 / $106.87	Professional		$42.79	$48.02	$106.87
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $12.32 / $13.43	Professional	26	$11.09	$12.32	$13.43
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $31.81 / $35.70 / $38.90	Professional	TC	$31.81	$35.70	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $55.61 / $173.68	Professional		$36.86	$55.61	$173.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $15.11 / $45.92	Professional	26	$9.84	$15.11	$45.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $39.58 / $127.76	Professional	TC	$27.02	$39.58	$127.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $100.11 / $100.11	Professional		$45.10	$100.11	$100.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $26.73 / $26.73	Professional	26	$12.14	$26.73	$26.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $73.38 / $73.38	Professional	TC	$32.96	$73.38	$73.38
United Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $93.87 / $126.85	Professional		$33.79	$93.87	$126.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $17.03 / $33.86	Professional	26	$8.27	$17.03	$33.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $79.65 / $92.98	Professional	TC	$24.07	$79.65	$92.98