Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.90 / $69.65 / $180.86	Facility	26	$20.90	$69.65	$180.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $41.97 / $101.56	Professional		$39.79	$41.97	$101.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $22.12 / $50.57	Professional	26	$20.90	$22.12	$50.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $21.07 / $35.67	Professional	TC	$19.42	$21.07	$35.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $50.82 / $232.54	Professional		$43.30	$50.82	$232.54
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $27.21 / $29.66	Professional	26	$27.21	$27.21	$29.66
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $22.39 / $77.92	Professional	TC	$18.48	$22.39	$77.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $70.15 / $149.03	Professional		$37.32	$70.15	$149.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $29.95 / $76.47	Professional	26	$19.84	$29.95	$76.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $40.24 / $106.90	Professional	TC	$18.32	$40.24	$106.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $53.57 / $103.48	Professional		$45.24	$53.57	$103.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $27.28 / $51.87	Professional	26	$23.55	$27.28	$51.87
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $26.29 / $51.61	Professional	TC	$21.69	$26.29	$51.61
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $60.81 / $149.94	Professional		$40.49	$60.81	$149.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $25.62 / $71.41	Professional	26	$18.82	$25.62	$71.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $32.28 / $71.04	Professional	TC	$17.98	$32.28	$71.04