Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $91.20	Facility	26	$12.02	$12.02	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $97.72	Professional		$41.69	$48.98	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $33.11	Professional	26	$10.96	$12.88	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $34.67 / $52.48	Professional	TC	$28.84	$34.67	$52.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $338.84	Professional		$54.95	$61.66	$338.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.45 / $16.98	Professional	26	$13.49	$14.45	$16.98
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $44.67 / $46.77	Professional	TC	$41.69	$44.67	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $147.91	Professional		$45.71	$67.61	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.38 / $38.02	Professional	26	$12.02	$17.38	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $50.12 / $107.15	Professional	TC	$33.11	$50.12	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $125.89	Professional		$58.88	$63.10	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $15.85 / $30.90	Professional	26	$14.79	$15.85	$30.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $47.86 / $95.50	Professional	TC	$43.65	$47.86	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $186.21	Professional		$42.66	$64.57	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.38 / $45.71	Professional	26	$11.22	$17.38	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $47.86 / $141.25	Professional	TC	$31.62	$47.86	$141.25