Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.78 / $39.26 / $96.92	Facility	26	$13.78	$39.26	$96.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $48.01 / $51.69	Professional		$44.39	$48.01	$51.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $13.78 / $30.97	Professional	26	$13.29	$13.78	$30.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $34.03 / $34.54	Professional	TC	$31.09	$34.03	$34.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $55.03 / $128.35	Professional		$46.40	$55.03	$128.35
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $16.30 / $17.77	Professional	26	$14.67	$16.30	$17.77
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $31.89 / $35.78 / $39.00	Professional	TC	$31.89	$35.78	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $65.09 / $204.85	Professional		$45.13	$65.09	$204.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.06 / $22.36 / $57.23	Professional	26	$13.06	$22.36	$57.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.23 / $41.13 / $147.62	Professional	TC	$30.23	$41.13	$147.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $62.05 / $118.02	Professional		$53.59	$62.05	$118.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.50 / $17.95 / $33.34	Professional	26	$15.50	$17.95	$33.34
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $44.10 / $84.66	Professional	TC	$38.09	$44.10	$84.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $69.58 / $149.54	Professional		$38.54	$69.58	$149.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $36.45 / $42.24	Professional	26	$12.42	$36.45	$42.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $40.11 / $107.30	Professional	TC	$26.45	$40.11	$107.30