Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.18 / $24.18 / $63.82	Facility	26	$7.18	$24.18	$63.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $29.82 / $31.86	Professional		$29.37	$29.82	$31.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $7.18 / $17.30	Professional	26	$6.93	$7.18	$17.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.05 / $22.44 / $24.69	Professional	TC	$22.05	$22.44	$24.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $37.35 / $83.49	Professional		$31.80	$37.35	$83.49
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.31 / $10.15	Professional	26	$8.38	$9.31	$10.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $25.34 / $28.04	Professional	TC	$22.57	$25.34	$28.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $41.73 / $135.62	Professional		$27.87	$41.73	$135.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $12.13 / $30.57	Professional	26	$7.11	$12.13	$30.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.10 / $28.74 / $105.06	Professional	TC	$20.10	$28.74	$105.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $79.06 / $79.06	Professional		$36.27	$79.06	$79.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $17.79 / $17.79	Professional	26	$8.44	$17.79	$17.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.84 / $61.29 / $61.29	Professional	TC	$27.84	$61.29	$61.29
United Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $45.92 / $100.19	Professional		$23.74	$45.92	$100.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $9.52 / $22.54	Professional	26	$6.56	$9.52	$22.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $34.06 / $77.65	Professional	TC	$16.80	$34.06	$77.65