Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $32.36 / $97.72	Facility	26	$12.88	$32.36	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.88 / $56.23	Professional		$14.79	$33.88	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.22 / $38.02	Professional	26	$7.08	$16.22	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $22.91 / $36.31	Professional	TC	$6.76	$22.91	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $43.65 / $89.13	Professional		$16.60	$43.65	$89.13
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.45 / $17.38	Professional	26	$8.51	$14.45	$17.38
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $28.84 / $28.84	Professional	TC	$10.72	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $102.33	Professional		$19.05	$28.84	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.75 / $33.88	Professional	26	$7.24	$11.75	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $18.62 / $67.61	Professional	TC	$10.47	$18.62	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $100.00	Professional		$33.88	$46.77	$100.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.85 / $33.11	Professional	26	$15.14	$15.85	$33.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $31.62 / $67.61	Professional	TC	$18.20	$31.62	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $46.77 / $125.89	Professional		$16.22	$46.77	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $18.62 / $42.66	Professional	26	$6.31	$18.62	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $30.20 / $85.11	Professional	TC	$9.77	$30.20	$85.11