Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $31.10 / $79.97	Facility	26	$8.11	$31.10	$79.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $27.54 / $38.54	Professional		$25.47	$27.54	$38.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $8.11 / $19.64	Professional	26	$7.81	$8.11	$19.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.74 / $13.77 / $14.48	Professional	52	$12.74	$13.77	$14.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $19.42 / $28.39	Professional	TC	$17.67	$19.42	$28.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $42.17 / $105.90	Professional		$40.44	$42.17	$105.90
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $12.37 / $20.41	Professional	26	$11.14	$12.37	$20.41
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $29.80 / $49.17	Professional	TC	$26.82	$29.80	$49.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $50.39 / $116.97	Professional		$26.34	$50.39	$116.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $13.93 / $34.61	Professional	26	$7.70	$13.93	$34.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $34.64 / $82.36	Professional	TC	$18.60	$34.64	$82.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $68.50 / $68.50	Professional		$31.10	$68.50	$68.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $20.12 / $20.12	Professional	26	$9.14	$20.12	$20.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $48.38 / $48.38	Professional	TC	$21.97	$48.38	$48.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $45.24 / $86.80	Professional		$29.04	$45.24	$86.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $10.30 / $26.22	Professional	26	$8.01	$10.30	$26.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $31.97 / $72.95	Professional	TC	$21.03	$31.97	$72.95