Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.17 / $9.17 / $9.17	Facility	26	$9.17	$9.17	$9.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $9.17 / $13.45	Professional	26	$9.16	$9.17	$13.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.77 / $15.02 / $22.34	Professional	TC	$14.77	$15.02	$22.34
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $23.28	Professional	26	$18.62	$18.62	$23.28
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $30.00 / $37.50	Professional	TC	$30.00	$30.00	$37.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.86 / $45.03 / $103.59	Professional	26	$25.86	$45.03	$103.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.83 / $71.81 / $160.88	Professional	TC	$38.83	$71.81	$160.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $25.86 / $54.09	Professional	26	$22.71	$25.86	$54.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.39 / $41.25 / $87.10	Professional	TC	$33.39	$41.25	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.10 / $65.06 / $68.50	Professional	26	$18.10	$65.06	$68.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $98.17 / $110.30	Professional	TC	$98.17	$98.17	$110.30