Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $9.77 / $9.77	Facility	26	$9.77	$9.77	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $30.51 / $73.83	Professional		$28.57	$30.51	$73.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $12.78 / $60.69	Professional	26	$9.50	$12.78	$60.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $20.74 / $50.19	Professional	TC	$19.07	$20.74	$50.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $33.10 / $36.08	Professional		$33.10	$33.10	$36.08
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $12.56 / $13.69	Professional	26	$11.35	$12.56	$13.69
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.54 / $20.54 / $24.20	Professional	TC	$20.54	$20.54	$24.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $46.23 / $92.97	Professional		$32.11	$46.23	$92.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $16.91 / $32.46	Professional	26	$10.37	$16.91	$32.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.31 / $27.19 / $63.44	Professional	TC	$21.31	$27.19	$63.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $37.57 / $72.23	Professional		$32.44	$37.57	$72.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $12.13 / $23.07	Professional	26	$10.48	$12.13	$23.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $25.44 / $49.19	Professional	TC	$21.97	$25.44	$49.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $49.38 / $91.48	Professional		$29.76	$49.38	$91.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $21.62 / $33.11	Professional	26	$11.77	$21.62	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $53.39 / $62.26	Professional	TC	$17.98	$53.39	$62.26