Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $31.22 / $97.22	Facility	26	$13.49	$31.22	$97.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $37.24 / $46.26	Professional		$17.14	$37.24	$46.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $13.49 / $17.01	Professional	26	$7.48	$13.49	$17.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $24.23 / $28.49	Professional	TC	$11.48	$24.23	$28.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $51.61 / $73.50	Professional		$27.22	$51.61	$73.50
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.95 / $19.57	Professional	26	$8.91	$17.95	$19.57
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $33.51 / $36.53	Professional	TC	$18.30	$33.51	$36.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $38.90 / $165.40	Professional		$20.38	$38.90	$165.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.79 / $57.50	Professional	26	$7.58	$12.79	$57.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $26.05 / $107.89	Professional	TC	$11.63	$26.05	$107.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $53.20 / $100.35	Professional		$45.94	$53.20	$100.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $17.57 / $33.44	Professional	26	$15.18	$17.57	$33.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $35.61 / $66.94	Professional	TC	$30.76	$35.61	$66.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $46.24 / $127.16	Professional		$16.07	$46.24	$127.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $21.54 / $42.37	Professional	26	$6.34	$21.54	$42.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.74 / $27.58 / $84.79	Professional	TC	$9.74	$27.58	$84.79