Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $151.36	Facility		$10.00	$24.55	$151.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $50.12	Facility	26	$6.03	$28.18	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $22.39 / $38.02	Professional		$9.77	$22.39	$38.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $25.70	Professional	26	$6.03	$7.94	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $9.55	Professional	TC	$3.02	$3.98	$9.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $43.65	Professional		$7.94	$12.59	$43.65
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.32 / $8.91	Professional	26	$7.41	$8.32	$8.91
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $4.17 / $4.79	Professional	TC	$3.47	$4.17	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $51.29	Facility		$16.98	$30.20	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $33.88	Professional		$10.00	$14.13	$33.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.47 / $21.88	Professional	26	$6.31	$10.47	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.79 / $10.72	Professional	TC	$2.88	$4.79	$10.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.18 / $26.30	Professional		$12.30	$13.18	$26.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.51 / $17.38	Professional	26	$7.94	$8.51	$17.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $4.68 / $10.00	Professional	TC	$4.37	$4.68	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $141.25 / $162.18	Facility		$120.23	$141.25	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $36.31	Professional		$10.47	$12.59	$36.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.51 / $22.91	Professional	26	$7.08	$8.51	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $4.07 / $12.30	Professional	TC	$3.39	$4.07	$12.30