Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $17.87 / $41.50	Professional		$15.91	$17.87	$41.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $10.92 / $30.84	Professional	26	$9.52	$10.92	$30.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.39 / $7.72 / $17.98	Professional	TC	$6.39	$7.72	$17.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $21.94 / $23.91	Professional		$18.71	$21.94	$23.91
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $13.91 / $15.16	Professional	26	$13.91	$13.91	$15.16
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.74 / $8.02 / $8.75	Professional	TC	$3.74	$8.02	$8.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.99 / $82.37	Professional		$9.44	$12.99	$82.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.48 / $7.34 / $46.79	Professional	26	$5.48	$7.34	$46.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.25 / $4.99 / $35.58	Professional	TC	$3.25	$4.99	$35.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $46.98 / $46.98	Professional		$25.83	$46.98	$46.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.74 / $26.02 / $26.02	Professional	26	$14.74	$26.02	$26.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $11.07 / $20.96 / $20.96	Professional	TC	$11.07	$20.96	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $15.26 / $43.23	Professional		$13.21	$15.26	$43.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $8.73 / $25.60	Professional	26	$6.04	$8.73	$25.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.63 / $6.62 / $17.63	Professional	TC	$4.63	$6.62	$17.63