Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $59.34 / $100.53	Facility		$30.66	$59.34	$100.53
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.75 / $7.31 / $8.73	Facility	26	$3.75	$7.31	$8.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $29.01 / $30.66	Professional		$23.77	$29.01	$30.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.35 / $3.75 / $3.91	Professional	26	$3.35	$3.75	$3.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.39 / $15.33 / $15.33	Professional	52	$11.39	$15.33	$15.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $25.10 / $26.91	Professional	TC	$22.62	$25.10	$26.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $23.05 / $129.01	Professional		$20.74	$23.05	$129.01
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $2.56 / $2.84 / $4.69	Professional	26	$2.56	$2.84	$4.69
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $20.21 / $22.03	Professional	TC	$18.19	$20.21	$22.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $41.64 / $74.98	Professional		$19.51	$41.64	$74.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.40 / $5.80 / $12.19	Professional	26	$2.40	$5.80	$12.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.11 / $31.06 / $62.38	Professional	TC	$17.11	$31.06	$62.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $29.01 / $55.96	Professional		$25.05	$29.01	$55.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.08 / $3.56 / $6.79	Professional	26	$3.08	$3.56	$6.79
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 $21.64 / $51.04 / $70.37	Professional		$21.64	$51.04	$70.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.94 / $7.00 / $8.53	Professional	26	$2.94	$7.00	$8.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.70 / $28.85 / $61.83	Professional	TC	$18.70	$28.85	$61.83