Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.88 / $23.90 / $68.91	Facility	26	$9.88	$23.90	$68.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.68 / $182.86 / $283.64	Facility	TC	$25.68	$182.86	$283.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $32.84 / $38.46	Professional		$32.64	$32.84	$38.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $9.88 / $23.90	Professional	26	$9.51	$9.88	$23.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.82 / $23.33 / $25.68	Professional	TC	$21.82	$23.33	$25.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $41.60 / $109.33	Professional		$39.38	$41.60	$109.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $13.01 / $14.18	Professional	26	$11.71	$13.01	$14.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $26.37 / $28.77	Professional	TC	$25.89	$26.37	$28.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $48.16 / $151.38	Professional		$30.03	$48.16	$151.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $16.97 / $42.08	Professional	26	$9.36	$16.97	$42.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $31.84 / $109.31	Professional	TC	$21.10	$31.84	$109.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $45.96 / $86.59	Professional		$39.69	$45.96	$86.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $12.88 / $23.70	Professional	26	$11.12	$12.88	$23.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $33.08 / $62.89	Professional	TC	$28.57	$33.08	$62.89
United Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $40.25 / $109.72	Professional		$27.82	$40.25	$109.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $15.76 / $30.03	Professional	26	$9.11	$15.76	$30.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.71 / $26.99 / $79.69	Professional	TC	$18.71	$26.99	$79.69