Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $165.96	Facility	26	$18.20	$18.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $138.04	Professional		$37.15	$60.26	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $69.18	Professional	26	$18.20	$22.91	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $34.67 / $63.10	Professional	TC	$15.85	$34.67	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $56.23 / $169.82	Professional		$21.38	$56.23	$169.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $20.89 / $38.02	Professional	26	$19.05	$20.89	$38.02
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $37.15 / $64.57	Professional	TC	$17.38	$37.15	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $239.88	Professional		$52.48	$100.00	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $37.15 / $85.11	Professional	26	$21.38	$37.15	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $46.77 / $154.88	Professional	TC	$21.38	$46.77	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $131.83	Professional		$53.70	$63.10	$131.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $44.67	Professional	26	$19.05	$21.88	$44.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $41.69 / $87.10	Professional	TC	$33.88	$41.69	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $141.25	Professional		$37.15	$53.70	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $27.54 / $56.23	Professional	26	$17.78	$27.54	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $29.51 / $93.33	Professional	TC	$17.38	$29.51	$93.33