Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $44.67	Professional		$10.96	$14.13	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $9.33 / $23.44	Professional	26	$3.02	$9.33	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $8.91 / $28.84	Professional	TC	$7.94	$8.91	$28.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $15.49 / $19.50	Professional		$3.80	$15.49	$19.50
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $3.72 / $4.17 / $13.49	Professional	26	$3.72	$4.17	$13.49
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $11.48 / $12.88	Professional	TC	$5.25	$11.48	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $67.61	Professional		$7.76	$10.00	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $2.57 / $16.98	Professional	26	$2.00	$2.57	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $7.41 / $50.12	Professional	TC	$5.89	$7.41	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $38.90	Professional		$21.88	$38.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $9.77 / $9.77	Professional	26	$5.50	$9.77	$9.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $28.84 / $28.84	Professional	TC	$16.22	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $36.31	Professional		$10.23	$12.30	$36.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $3.39 / $9.55	Professional	26	$3.02	$3.39	$9.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.24 / $8.91 / $27.54	Professional	TC	$7.24	$8.91	$27.54