Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $26.44 / $81.91	Facility	26	$11.35	$26.44	$81.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.95 / $69.78 / $213.35	Facility	TC	$29.95	$69.78	$213.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $38.15 / $44.51	Professional		$38.09	$38.15	$44.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $11.35 / $14.16	Professional	26	$10.93	$11.35	$14.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $27.21 / $29.95	Professional	TC	$25.42	$27.21	$29.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $48.82 / $109.33	Professional		$46.55	$48.82	$109.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $15.40 / $16.79	Professional	26	$13.86	$15.40	$16.79
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.21 / $31.15 / $33.95	Professional	TC	$30.21	$31.15	$33.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $57.42 / $177.52	Professional		$35.26	$57.42	$177.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $19.51 / $48.34	Professional	26	$10.77	$19.51	$48.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $37.00 / $129.18	Professional	TC	$24.33	$37.00	$129.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $52.98 / $101.55	Professional		$45.75	$52.98	$101.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $14.81 / $28.17	Professional	26	$12.79	$14.81	$28.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $38.15 / $73.38	Professional	TC	$32.96	$38.15	$73.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $59.90 / $128.68	Professional		$32.52	$59.90	$128.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.73 / $15.70 / $35.70	Professional	26	$10.73	$15.70	$35.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $41.79 / $92.98	Professional	TC	$21.79	$41.79	$92.98