Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.87 / $12.87 / $90.48	Facility	26	$12.87	$12.87	$90.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $49.74 / $56.86	Professional		$45.85	$49.74	$56.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $12.87 / $16.34	Professional	26	$12.37	$12.87	$16.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $36.86 / $40.50	Professional	TC	$33.47	$36.86	$40.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $61.90 / $244.68	Professional		$61.82	$61.90	$244.68
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $16.92 / $18.44	Professional	26	$15.23	$16.92	$18.44
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $44.98 / $49.03	Professional	TC	$40.47	$44.98	$49.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $79.54 / $208.10	Professional		$48.90	$79.54	$208.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $20.91 / $54.81	Professional	26	$11.90	$20.91	$54.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.00 / $56.38 / $153.30	Professional	TC	$37.00	$56.38	$153.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $67.23 / $126.25	Professional		$58.07	$67.23	$126.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $16.37 / $31.12	Professional	26	$14.14	$16.37	$31.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.94 / $50.88 / $95.13	Professional	TC	$43.94	$50.88	$95.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $68.20 / $185.43	Professional		$42.60	$68.20	$185.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $20.01 / $45.71	Professional	26	$11.25	$20.01	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.35 / $57.13 / $139.72	Professional	TC	$31.35	$57.13	$139.72