Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.60 / $18.80 / $47.58	Facility	26	$6.60	$18.80	$47.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $8.38 / $64.72 / $210.14	Facility	TC	$8.38	$64.72	$210.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $20.76 / $24.40	Professional		$15.10	$20.76	$24.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $6.82 / $15.10	Professional	26	$6.37	$6.82	$15.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.89 / $14.16 / $18.12	Professional	TC	$12.89	$14.16	$18.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $74.89	Professional		$26.07	$26.07	$74.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $8.19 / $8.93	Professional	26	$7.37	$8.19	$8.93
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $17.88 / $20.41	Professional	TC	$16.09	$17.88	$20.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $32.86 / $87.80	Professional		$19.51	$32.86	$87.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $11.05 / $28.15	Professional	26	$6.26	$11.05	$28.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.26 / $21.21 / $59.66	Professional	TC	$13.26	$21.21	$59.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $51.02 / $51.02	Professional		$23.17	$51.02	$51.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $16.36 / $16.36	Professional	26	$7.43	$16.36	$16.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $34.65 / $34.65	Professional	TC	$15.74	$34.65	$34.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $30.66 / $64.65	Professional		$18.89	$30.66	$64.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $10.54 / $20.73	Professional	26	$5.76	$10.54	$20.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.10 / $20.12 / $43.92	Professional	TC	$13.10	$20.12	$43.92