Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.87 / $32.53 / $63.82	Facility	26	$13.87	$32.53	$63.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $41.52 / $79.51	Professional		$38.58	$41.52	$79.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $13.45 / $13.87	Professional	26	$7.78	$13.45	$13.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $27.65 / $71.73	Professional	TC	$25.12	$27.65	$71.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.58 / $174.55	Professional		$54.95	$56.58	$174.55
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.56 / $14.96 / $17.10	Professional	26	$12.56	$14.96	$17.10
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.36 / $42.62 / $70.31	Professional	TC	$38.36	$42.62	$70.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $69.44 / $175.67	Professional		$38.93	$69.44	$175.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.88 / $57.84	Professional	26	$9.02	$12.88	$57.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.05 / $59.43 / $117.83	Professional	TC	$26.05	$59.43	$117.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $100.44 / $100.44	Professional		$45.98	$100.44	$100.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.22 / $32.71 / $32.71	Professional	26	$15.22	$32.71	$32.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $67.73 / $67.73	Professional	TC	$30.76	$67.73	$67.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $68.63 / $127.26	Professional		$40.18	$68.63	$127.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $17.59 / $41.44	Professional	26	$6.55	$17.59	$41.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $73.47 / $105.88	Professional	TC	$26.71	$73.47	$105.88