Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.69 / $40.54 / $79.56	Facility	26	$8.69	$40.54	$79.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $28.51 / $34.67	Professional		$27.82	$28.51	$34.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $8.69 / $21.02	Professional	26	$8.36	$8.69	$21.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $19.57 / $23.52	Professional	TC	$19.46	$19.57	$23.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $35.94 / $79.87	Professional		$30.14	$35.94	$79.87
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.91 / $12.98	Professional	26	$10.72	$11.91	$12.98
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.42 / $23.52 / $32.84	Professional	TC	$19.42	$23.52	$32.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $44.72 / $126.48	Professional		$28.90	$44.72	$126.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $14.94 / $37.03	Professional	26	$7.98	$14.94	$37.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $32.22 / $89.45	Professional	TC	$18.50	$32.22	$89.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $39.74 / $74.76	Professional		$34.32	$39.74	$74.76
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 $24.90 / $28.83 / $54.03	Professional	TC	$24.90	$28.83	$54.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $46.68 / $109.81	Professional		$24.60	$46.68	$109.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $9.52 / $30.45	Professional	26	$8.23	$9.52	$30.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $31.32 / $79.36	Professional	TC	$16.37	$31.32	$79.36