Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $40.74 / $77.39	Facility	26	$8.36	$40.74	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $22.85 / $73.34	Professional		$21.26	$22.85	$73.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $8.36 / $20.23	Professional	26	$8.07	$8.36	$20.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $14.49 / $63.97	Professional	TC	$13.19	$14.49	$63.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $27.60 / $232.36	Professional		$25.22	$27.60	$232.36
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.26 / $11.18	Professional	26	$9.14	$10.26	$11.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $14.96 / $17.34 / $54.73	Professional	TC	$14.96	$17.34	$54.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $68.03 / $163.63	Professional		$23.04	$68.03	$163.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $12.75 / $28.75	Professional	26	$7.93	$12.75	$28.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.11 / $43.13 / $152.07	Professional	TC	$15.11	$43.13	$152.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $31.68 / $58.62	Professional		$26.62	$31.68	$58.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.90 / $20.73	Professional	26	$9.41	$10.90	$20.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $20.78 / $37.89	Professional	TC	$17.16	$20.78	$37.89
United Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $56.86 / $88.98	Professional		$21.95	$56.86	$88.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $10.64 / $31.47	Professional	26	$7.20	$10.64	$31.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.05 / $24.13 / $57.51	Professional	TC	$13.05	$24.13	$57.51