Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.73 / $33.42 / $84.45	Facility	26	$11.73	$33.42	$84.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $43.33 / $104.85	Professional		$38.74	$43.33	$104.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $12.59 / $28.38	Professional	26	$11.31	$12.59	$28.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.01 / $21.67 / $21.67	Professional	52	$20.01	$21.67	$21.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.21 / $31.60 / $76.47	Professional	TC	$25.21	$31.60	$76.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $51.51 / $143.56	Professional		$44.04	$51.51	$143.56
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $16.07 / $17.52	Professional	26	$14.46	$16.07	$17.52
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.58 / $34.10 / $35.82	Professional	TC	$29.58	$34.10	$35.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $52.77 / $186.30	Professional		$38.61	$52.77	$186.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $19.10 / $50.03	Professional	26	$11.11	$19.10	$50.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.58 / $33.84 / $136.27	Professional	TC	$25.58	$33.84	$136.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $56.41 / $107.27	Professional		$48.72	$56.41	$107.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $15.28 / $29.05	Professional	26	$13.20	$15.28	$29.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.52 / $41.13 / $78.22	Professional	TC	$35.52	$41.13	$78.22
United Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $63.09 / $135.91	Professional		$31.25	$63.09	$135.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.61 / $36.81	Professional	26	$10.47	$15.61	$36.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $44.98 / $99.11	Professional	TC	$19.64	$44.98	$99.11