Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.55 / $21.50 / $52.01	Facility	26	$7.55	$21.50	$52.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $35.65 / $41.30	Professional		$34.11	$35.65	$41.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.55 / $17.30	Professional	26	$7.24	$7.55	$17.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.21 / $28.41 / $31.47	Professional	TC	$25.21	$28.41	$31.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $45.97 / $80.17	Professional		$38.99	$45.97	$80.17
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $10.89 / $11.87	Professional	26	$9.50	$10.89	$11.87
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.28 / $32.86 / $35.82	Professional	TC	$29.28	$32.86	$35.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $45.71 / $168.46	Professional		$31.17	$45.71	$168.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $12.10 / $32.19	Professional	26	$7.15	$12.10	$32.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $32.28 / $136.27	Professional	TC	$21.01	$32.28	$136.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $95.29 / $95.29	Professional		$43.27	$95.29	$95.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $17.89 / $17.89	Professional	26	$8.48	$17.89	$17.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $77.41 / $77.41	Professional	TC	$34.79	$77.41	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $88.85 / $120.75	Professional		$27.31	$88.85	$120.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $10.03 / $23.00	Professional	26	$6.91	$10.03	$23.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $44.45 / $98.08	Professional	TC	$18.30	$44.45	$98.08