Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.59 / $28.16 / $58.48	Facility	26	$6.59	$28.16	$58.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $41.51	Professional		$25.25	$25.25	$41.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $7.33 / $15.92	Professional	26	$6.59	$7.33	$15.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $18.66 / $30.70	Professional	TC	$18.66	$18.66	$30.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $29.08 / $135.15	Professional		$27.74	$29.08	$135.15
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $7.78 / $8.52	Professional	26	$7.65	$7.78	$8.52
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.96 / $21.43 / $48.53	Professional	TC	$19.96	$21.43	$48.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $43.20 / $109.94	Professional		$25.88	$43.20	$109.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $10.52 / $28.05	Professional	26	$7.13	$10.52	$28.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $33.69 / $74.78	Professional	TC	$19.11	$33.69	$74.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $30.66 / $59.11	Professional		$25.60	$30.66	$59.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $8.17 / $15.55	Professional	26	$7.12	$8.17	$15.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $22.48 / $43.56	Professional	TC	$18.48	$22.48	$43.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $45.76 / $75.73	Professional		$23.23	$45.76	$75.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $9.19 / $17.01	Professional	26	$6.13	$9.19	$17.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.66 / $23.98 / $56.40	Professional	TC	$16.66	$23.98	$56.40