Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $32.36 / $58.88	Facility	26	$7.94	$32.36	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $93.33	Professional		$22.91	$32.36	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $34.67	Professional	26	$7.08	$10.00	$34.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $53.70 / $53.70 / $54.95	Professional	52	$53.70	$53.70	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.50 / $60.26	Professional	TC	$15.85	$19.50	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $33.11 / $138.04	Professional		$9.55	$33.11	$138.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.71 / $22.39	Professional	26	$8.51	$8.71	$22.39
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $22.91 / $52.48	Professional	TC	$20.89	$22.91	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $100.00	Professional		$28.84	$42.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.02 / $24.55	Professional	26	$7.76	$12.02	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $57.54	Professional	TC	$19.95	$30.20	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $77.62	Professional		$32.36	$38.90	$77.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $20.89	Professional	26	$9.77	$11.22	$20.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $57.54	Professional	TC	$22.39	$27.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $87.10	Professional		$28.84	$40.74	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $25.70	Professional	26	$7.94	$11.48	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $61.66	Professional	TC	$20.89	$29.51	$61.66