Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.22 / $17.47 / $52.01	Facility	26	$7.22	$17.47	$52.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.07 / $50.98 / $150.06	Facility	TC	$21.07	$50.98	$150.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $28.29 / $49.00	Professional		$26.10	$28.29	$49.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $7.22 / $15.40	Professional	26	$6.95	$7.22	$15.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.00 / $19.45 / $26.37	Professional	TC	$19.00	$19.45	$26.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $33.11 / $90.76	Professional		$30.55	$33.11	$90.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $9.51 / $10.37	Professional	26	$8.56	$9.51	$10.37
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.04 / $21.58 / $23.61	Professional	TC	$21.04	$21.58	$23.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $39.83 / $120.23	Professional		$24.75	$39.83	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.64 / $30.77	Professional	26	$6.84	$11.64	$30.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.59 / $28.22 / $89.45	Professional	TC	$17.59	$28.22	$89.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $69.48 / $69.48	Professional		$31.92	$69.48	$69.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $17.89 / $17.89	Professional	26	$8.11	$17.89	$17.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $51.61 / $51.61	Professional	TC	$23.80	$51.61	$51.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $67.26 / $88.04	Professional		$23.20	$67.26	$88.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $9.73 / $22.67	Professional	26	$6.64	$9.73	$22.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $30.70 / $65.37	Professional	TC	$16.55	$30.70	$65.37