Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $26.92 / $69.18	Facility	26	$8.91	$26.92	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $91.20	Professional		$28.84	$37.15	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.45 / $28.18	Professional	26	$7.94	$14.45	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.30 / $58.88	Professional	TC	$20.89	$26.30	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $39.81 / $131.83	Professional		$11.22	$39.81	$131.83
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.23 / $11.22	Professional	26	$9.55	$10.23	$11.22
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $29.51 / $36.31	Professional	TC	$27.54	$29.51	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $109.65	Professional		$31.62	$38.90	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $28.18	Professional	26	$8.13	$10.72	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $72.44	Professional	TC	$22.91	$28.84	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $93.33	Professional		$41.69	$48.98	$93.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.30 / $23.44	Professional	26	$10.72	$12.30	$23.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $69.18	Professional	TC	$30.20	$37.15	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $117.49	Professional		$28.18	$45.71	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $13.80 / $30.20	Professional	26	$7.41	$13.80	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $87.10	Professional	TC	$20.89	$32.36	$87.10