Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.25 / $26.05 / $68.91	Facility	26	$22.25	$26.05	$68.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $35.00 / $40.70	Professional		$34.93	$35.00	$40.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $9.55 / $20.14	Professional	26	$8.73	$9.55	$20.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $26.28 / $28.31	Professional	TC	$25.72	$26.28	$28.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $42.58 / $98.27	Professional		$37.09	$42.58	$98.27
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $10.03 / $10.92	Professional	26	$9.76	$10.03	$10.92
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.04 / $29.10 / $31.73	Professional	TC	$27.04	$29.10	$31.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $47.90 / $161.33	Professional		$33.64	$47.90	$161.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $13.97 / $40.65	Professional	26	$9.06	$13.97	$40.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $33.90 / $120.66	Professional	TC	$24.54	$33.90	$120.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $93.04 / $93.04	Professional		$42.26	$93.04	$93.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $23.70 / $23.70	Professional	26	$10.76	$23.70	$23.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.49 / $69.36 / $69.36	Professional	TC	$31.49	$69.36	$69.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $38.61 / $117.89	Professional		$28.46	$38.61	$117.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $15.76 / $30.03	Professional	26	$7.43	$15.76	$30.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $32.63 / $87.86	Professional	TC	$20.51	$32.63	$87.86