Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $59.62 / $122.47	Facility	26	$14.72	$59.62	$122.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $45.01 / $45.01	Professional		$41.68	$45.01	$45.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $14.72 / $14.72	Professional	26	$14.17	$14.72	$14.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $30.28 / $30.28	Professional	TC	$27.03	$30.28	$30.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $52.26 / $113.02	Professional		$44.52	$52.26	$113.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $18.32 / $19.97	Professional	26	$16.48	$18.32	$19.97
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.04 / $33.95 / $47.88	Professional	TC	$28.04	$33.95	$47.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $61.80 / $191.94	Professional		$41.70	$61.80	$191.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $22.35 / $62.76	Professional	26	$13.95	$22.35	$62.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $42.93 / $129.18	Professional	TC	$24.78	$42.93	$129.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $57.34 / $110.66	Professional		$49.52	$57.34	$110.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $19.18 / $36.47	Professional	26	$16.57	$19.18	$36.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $38.15 / $74.19	Professional	TC	$32.96	$38.15	$74.19
United Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $65.19 / $140.22	Professional		$36.47	$65.19	$140.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $23.50 / $46.21	Professional	26	$12.10	$23.50	$46.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $41.92 / $94.01	Professional	TC	$22.47	$41.92	$94.01