Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.70 / $16.25 / $41.07	Facility	26	$5.70	$16.25	$41.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $54.95 / $210.14 / $584.79	Facility	TC	$54.95	$210.14	$584.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $28.41 / $48.74	Professional		$26.15	$28.41	$48.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.51 / $5.70 / $13.79	Professional	26	$5.51	$5.70	$13.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $22.71 / $24.17	Professional	TC	$20.65	$22.71	$24.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $34.09 / $66.29	Professional		$30.37	$34.09	$66.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $7.07 / $7.71	Professional	26	$6.36	$7.07	$7.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $24.08 / $27.02 / $29.45	Professional	TC	$24.08	$27.02	$29.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $37.81 / $120.85	Professional		$24.90	$37.81	$120.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.40 / $9.24 / $24.31	Professional	26	$5.40	$9.24	$24.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $27.81 / $96.54	Professional	TC	$18.42	$27.81	$96.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $69.76 / $69.76	Professional		$31.31	$69.76	$69.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $14.13 / $14.13	Professional	26	$6.41	$14.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $55.63 / $55.63	Professional	TC	$24.90	$55.63	$55.63
United Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $34.04 / $88.40	Professional		$22.05	$34.04	$88.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.93 / $9.11 / $17.89	Professional	26	$4.93	$9.11	$17.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $24.11 / $70.50	Professional	TC	$18.52	$24.11	$70.50