Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.92 / $25.92 / $25.92	Facility	26	$25.92	$25.92	$25.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $49.69 / $122.03	Professional		$42.87	$49.69	$122.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.88 / $25.92 / $33.46	Professional	26	$22.88	$25.92	$33.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $23.77 / $88.56	Professional	TC	$19.98	$23.77	$88.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $39.32 / $399.78	Professional		$39.32	$39.32	$399.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.36 / $21.51 / $23.73	Professional	26	$19.36	$21.51	$23.73
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $17.80 / $52.98	Professional	TC	$17.80	$17.80	$52.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $75.91 / $173.62	Professional		$31.79	$75.91	$173.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $37.67 / $60.39	Professional	26	$16.68	$37.67	$60.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $34.81 / $134.34	Professional	TC	$15.12	$34.81	$134.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $47.26 / $90.68	Professional		$40.81	$47.26	$90.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.41 / $24.79 / $47.14	Professional	26	$21.41	$24.79	$47.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $22.47 / $43.54	Professional	TC	$19.41	$22.47	$43.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $91.60 / $114.02	Professional		$36.82	$91.60	$114.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $31.63 / $59.27	Professional	26	$20.23	$31.63	$59.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.97 / $40.04 / $59.59	Professional	TC	$12.97	$40.04	$59.59