Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $37.95 / $79.56	Facility	26	$8.36	$37.95	$79.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $36.67 / $97.90	Professional		$33.79	$36.67	$97.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $8.36 / $22.40	Professional	26	$8.07	$8.36	$22.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $28.31 / $87.98	Professional	TC	$25.72	$28.31	$87.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $53.16 / $271.94	Professional		$52.90	$53.16	$271.94
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $10.79 / $17.80	Professional	26	$9.71	$10.79	$17.80
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $38.13 / $42.37 / $69.48	Professional	TC	$38.13	$42.37	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $92.80 / $169.53	Professional		$35.69	$92.80	$169.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $14.08 / $35.61	Professional	26	$7.93	$14.08	$35.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $79.70 / $136.94	Professional	TC	$27.75	$79.70	$136.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $49.07 / $92.51	Professional		$42.38	$49.07	$92.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.90 / $20.73	Professional	26	$9.41	$10.90	$20.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.96 / $38.15 / $71.77	Professional	TC	$32.96	$38.15	$71.77
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $59.49 / $365.53	Professional		$36.04	$59.49	$365.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $23.56 / $51.19	Professional	26	$8.22	$23.56	$51.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.27 / $69.70 / $314.33	Professional	TC	$29.27	$69.70	$314.33