Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.52 / $34.90 / $119.79	Facility	26	$13.52	$34.90	$119.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $46.35 / $46.35	Professional		$26.23	$46.35	$46.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $13.75 / $17.68	Professional	26	$13.52	$13.75	$17.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $32.83 / $32.83	Professional	TC	$12.47	$32.83	$32.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $48.33 / $60.41	Professional		$27.13	$48.33	$60.41
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $14.77 / $18.46	Professional	26	$14.77	$14.77	$18.46
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $12.35 / $33.54 / $41.94	Professional	TC	$12.35	$33.54	$41.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $73.15 / $191.35	Professional		$35.50	$73.15	$191.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $26.57 / $60.43	Professional	26	$15.26	$26.57	$60.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $37.11 / $130.93	Professional	TC	$16.77	$37.11	$130.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $49.96 / $106.11	Professional		$41.46	$49.96	$106.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $15.26 / $31.93	Professional	26	$13.38	$15.26	$31.93
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $34.69 / $74.19	Professional	TC	$28.08	$34.69	$74.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $51.36 / $127.65	Professional		$23.45	$51.36	$127.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $18.62 / $40.44	Professional	26	$12.29	$18.62	$40.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.10 / $29.36 / $89.23	Professional	TC	$11.10	$29.36	$89.23