Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $40.74 / $60.26	Facility	26	$7.94	$40.74	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $275.42	Professional		$20.89	$31.62	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $45.71	Professional	26	$7.94	$10.00	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $18.20 / $218.78	Professional	TC	$12.02	$18.20	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $38.02 / $316.23	Professional		$8.91	$38.02	$316.23
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.77 / $10.72	Professional	26	$8.13	$9.77	$10.72
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $19.05 / $114.82	Professional	TC	$16.98	$19.05	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $56.23 / $154.88	Professional		$22.39	$56.23	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $25.12	Professional	26	$7.94	$11.75	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $36.31 / $144.54	Professional	TC	$15.14	$36.31	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $58.88	Professional		$26.92	$28.84	$58.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.23 / $20.89	Professional	26	$9.55	$10.23	$20.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $19.05 / $38.02	Professional	TC	$17.38	$19.05	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $66.07 / $93.33	Professional		$21.88	$66.07	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.75 / $31.62	Professional	26	$7.24	$11.75	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $42.66 / $60.26	Professional	TC	$13.18	$42.66	$60.26