Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $47.86	Professional		$14.13	$16.22	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $33.88 / $91.20	Professional	26	$8.91	$33.88	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $7.08 / $56.23	Professional	TC	$6.03	$7.08	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.20 / $20.42	Professional		$8.71	$18.20	$20.42
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.47 / $15.14	Professional	26	$10.23	$10.47	$15.14
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $7.76 / $9.33	Professional	TC	$3.72	$7.76	$9.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $83.18	Professional		$9.33	$12.02	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $7.24 / $46.77	Professional	26	$5.50	$7.24	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $5.01 / $35.48	Professional	TC	$3.24	$5.01	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $46.77	Professional		$25.70	$46.77	$46.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $26.30 / $26.30	Professional	26	$14.13	$26.30	$26.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $20.89 / $20.89	Professional	TC	$11.22	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $43.65	Professional		$14.13	$16.60	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.33 / $25.70	Professional	26	$8.32	$9.33	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $7.24 / $19.50	Professional	TC	$5.75	$7.24	$19.50