Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.83 / $27.25 / $66.33	Facility	26	$7.83	$27.25	$66.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $22.65 / $30.60	Professional		$21.01	$22.65	$30.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $7.83 / $18.66	Professional	26	$7.53	$7.83	$18.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $14.81 / $22.05	Professional	TC	$13.49	$14.81	$22.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $33.61 / $83.49	Professional		$31.80	$33.61	$83.49
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.49 / $11.43	Professional	26	$9.35	$10.49	$11.43
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $23.12 / $25.20	Professional	TC	$20.81	$23.12	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $42.84 / $97.32	Professional		$21.72	$42.84	$97.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $12.60 / $33.40	Professional	26	$7.42	$12.60	$33.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.26 / $28.51 / $63.91	Professional	TC	$14.26	$28.51	$63.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $56.49 / $56.49	Professional		$25.65	$56.49	$56.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $19.39 / $19.39	Professional	26	$8.81	$19.39	$19.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $37.08 / $37.08	Professional	TC	$16.84	$37.08	$37.08
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $33.36 / $79.95	Professional		$22.81	$33.36	$79.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $12.50 / $24.57	Professional	26	$6.60	$12.50	$24.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.21 / $27.53 / $56.95	Professional	TC	$16.21	$27.53	$56.95