Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.82 / $20.56 / $52.01	Facility	26	$16.82	$20.56	$52.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $31.25 / $72.81	Professional		$22.58	$31.25	$72.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $7.48 / $17.47	Professional	26	$6.95	$7.48	$17.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $24.03 / $58.15	Professional	TC	$21.35	$24.03	$58.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $36.25 / $81.43	Professional		$31.00	$36.25	$81.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $8.94 / $9.76	Professional	26	$8.06	$8.94	$9.76
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.51 / $24.66 / $27.30	Professional	TC	$22.51	$24.66	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $40.20 / $132.99	Professional		$26.42	$40.20	$132.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.64 / $30.77	Professional	26	$6.84	$11.64	$30.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $27.71 / $102.22	Professional	TC	$19.35	$27.71	$102.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $77.55 / $77.55	Professional		$35.22	$77.55	$77.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $17.89 / $17.89	Professional	26	$8.11	$17.89	$17.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.09 / $59.66 / $59.66	Professional	TC	$27.09	$59.66	$59.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $30.26 / $98.26	Professional		$22.94	$30.26	$98.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $11.52 / $22.67	Professional	26	$6.34	$11.52	$22.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $33.86 / $75.59	Professional	TC	$16.64	$33.86	$75.59