Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $16.22 / $40.74	Facility	26	$5.01	$16.22	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $64.57 / $162.18	Facility	TC	$21.88	$64.57	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.20 / $72.44	Professional		$13.80	$30.20	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $12.30 / $28.18	Professional	26	$5.01	$12.30	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $58.88	Professional	TC	$16.98	$22.91	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $33.11 / $100.00	Professional		$6.61	$33.11	$100.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $6.31 / $7.41	Professional	26	$6.03	$6.31	$7.41
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $26.92	Professional	TC	$16.60	$23.99	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $85.11	Professional		$23.99	$33.88	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $7.59 / $16.98	Professional	26	$5.37	$7.59	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $61.66	Professional	TC	$18.20	$25.70	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $69.18	Professional		$30.90	$36.31	$69.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.59 / $14.13	Professional	26	$6.61	$7.59	$14.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.84 / $56.23	Professional	TC	$23.99	$28.84	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $89.13	Professional		$21.88	$33.88	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $8.13 / $17.78	Professional	26	$4.90	$8.13	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.30 / $70.79	Professional	TC	$17.38	$26.30	$70.79