Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.89 / $19.63 / $49.64	Facility	26	$6.89	$19.63	$49.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $27.63 / $30.66	Professional		$25.25	$27.63	$30.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $6.89 / $15.78	Professional	26	$6.65	$6.89	$15.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.76 / $13.82 / $13.82	Professional	52	$12.76	$13.82	$13.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $20.64 / $23.02	Professional	TC	$18.86	$20.64	$23.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $31.68 / $75.86	Professional		$28.22	$31.68	$75.86
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $8.53 / $9.31	Professional	26	$7.69	$8.53	$9.31
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.62 / $23.14 / $25.22	Professional	TC	$20.62	$23.14	$25.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $39.54 / $118.81	Professional		$25.35	$39.54	$118.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $11.18 / $29.36	Professional	26	$6.53	$11.18	$29.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $27.66 / $89.45	Professional	TC	$17.77	$27.66	$89.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $67.87 / $67.87	Professional		$30.46	$67.87	$67.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $17.07 / $17.07	Professional	26	$7.75	$17.07	$17.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $50.80 / $50.80	Professional	TC	$22.71	$50.80	$50.80
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $40.63 / $86.00	Professional		$22.19	$40.63	$86.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.89 / $21.64	Professional	26	$6.03	$10.89	$21.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $24.70 / $64.36	Professional	TC	$15.28	$24.70	$64.36