Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $18.91 / $58.51	Facility	26	$8.11	$18.91	$58.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $55.22 / $210.14 / $420.28	Facility	TC	$55.22	$210.14	$420.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $31.82 / $77.00	Professional		$28.55	$31.82	$77.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $8.30 / $19.64	Professional	26	$7.81	$8.30	$19.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $23.70 / $57.35	Professional	TC	$19.71	$23.70	$57.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $37.25 / $99.56	Professional		$32.86	$37.25	$99.56
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $10.69 / $11.65	Professional	26	$9.61	$10.69	$11.65
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.17 / $23.97 / $26.56	Professional	TC	$22.17	$23.97	$26.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.27 / $134.00	Professional		$26.92	$43.27	$134.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $13.09 / $34.61	Professional	26	$7.69	$13.09	$34.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.75 / $29.26 / $99.38	Professional	TC	$19.75	$29.26	$99.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $78.18 / $78.18	Professional		$35.86	$78.18	$78.18
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 $26.73 / $58.05 / $58.05	Professional	TC	$26.73	$58.05	$58.05
United Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $45.77 / $99.06	Professional		$25.04	$45.77	$99.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $10.30 / $25.50	Professional	26	$7.89	$10.30	$25.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.27 / $24.57 / $73.56	Professional	TC	$15.27	$24.57	$73.56