Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $72.44 / $151.36	Facility	26	$19.95	$72.44	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $162.18	Professional		$37.15	$54.95	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $40.74 / $85.11	Professional	26	$19.50	$40.74	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $60.26	Professional	TC	$16.98	$22.91	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $48.98 / $302.00	Professional		$22.39	$48.98	$302.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $24.55 / $29.51	Professional	26	$22.91	$24.55	$29.51
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $23.99 / $77.62	Professional	TC	$21.38	$23.99	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $128.82	Professional		$37.15	$64.57	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $28.84 / $54.95	Professional	26	$18.20	$28.84	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $31.62 / $74.13	Professional	TC	$16.98	$31.62	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $102.33	Professional		$47.86	$51.29	$102.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $26.30 / $51.29	Professional	26	$25.12	$26.30	$51.29
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $24.55 / $51.29	Professional	TC	$22.39	$24.55	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $134.90	Professional		$40.74	$52.48	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.12 / $67.61	Professional	26	$20.42	$25.12	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $66.07	Professional	TC	$19.50	$25.70	$66.07