Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $52.48	Facility	26	$7.08	$7.08	$52.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $20.89 / $151.36	Facility	TC	$20.89	$20.89	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $48.98	Professional		$19.95	$26.92	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $35.48	Professional	26	$6.03	$7.94	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $35.48	Professional	TC	$15.14	$19.05	$35.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $114.82	Professional		$25.12	$30.90	$114.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.32 / $9.55	Professional	26	$7.76	$8.32	$9.55
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $22.39 / $22.91	Professional	TC	$20.89	$22.39	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $85.11	Professional		$23.99	$33.11	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.77 / $21.38	Professional	26	$6.92	$9.77	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $61.66	Professional	TC	$16.98	$23.44	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $69.18	Professional		$31.62	$37.15	$69.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.55 / $17.78	Professional	26	$8.32	$9.55	$17.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $27.54 / $51.29	Professional	TC	$22.91	$27.54	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $87.10	Professional		$23.44	$35.48	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.77 / $22.91	Professional	26	$6.61	$9.77	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.70 / $66.07	Professional	TC	$16.60	$25.70	$66.07