Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.80 / $7.59 / $24.78	Facility	26	$2.80	$7.59	$24.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $30.55 / $57.76	Professional		$23.87	$30.55	$57.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.80 / $3.33 / $6.77	Professional	26	$2.80	$3.33	$6.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.03 / $11.94 / $11.94	Professional	52	$11.03	$11.94	$11.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $21.08 / $34.75	Professional	TC	$21.08	$21.08	$34.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $27.46 / $335.04	Professional		$24.80	$27.46	$335.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $3.26 / $3.58 / $10.64	Professional	26	$3.26	$3.58	$10.64
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $24.20 / $159.76	Professional	TC	$21.22	$24.20	$159.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $44.57 / $202.19	Professional		$23.65	$44.57	$202.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $4.76 / $11.87	Professional	26	$3.16	$4.76	$11.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $37.50 / $141.33	Professional	TC	$20.56	$37.50	$141.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $28.50 / $55.82	Professional		$23.58	$28.50	$55.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.01 / $3.48 / $6.63	Professional	26	$3.01	$3.48	$6.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $25.03 / $49.19	Professional	TC	$20.57	$25.03	$49.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $43.29 / $102.21	Professional		$23.67	$43.29	$102.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.83 / $4.44 / $8.11	Professional	26	$2.83	$4.44	$8.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $33.79 / $83.62	Professional	TC	$18.82	$33.79	$83.62