Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.54 / $5.91 / $7.31	Facility	26	$2.54	$5.91	$7.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $14.99 / $26.79	Professional		$13.98	$14.99	$26.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.50 / $2.54 / $5.30	Professional	26	$2.50	$2.54	$5.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.47 / $12.45 / $20.78	Professional	TC	$11.47	$12.45	$20.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $61.11	Professional		$18.97	$18.97	$61.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $3.55 / $5.50	Professional	26	$3.55	$3.55	$5.50
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $15.42 / $15.42 / $23.76	Professional	TC	$15.42	$15.42	$23.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $32.08 / $59.90	Professional		$16.55	$32.08	$59.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.76 / $6.43 / $10.57	Professional	26	$2.76	$6.43	$10.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.79 / $25.42 / $50.37	Professional	TC	$13.79	$25.42	$50.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $17.98 / $35.79	Professional		$16.26	$17.98	$35.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $2.77 / $3.00 / $5.98	Professional	26	$2.77	$3.00	$5.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $13.55 / $14.97 / $29.82	Professional	TC	$13.55	$14.97	$29.82
United Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $22.59 / $45.33	Professional		$18.19	$22.59	$45.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.75 / $4.68 / $10.24	Professional	26	$3.75	$4.68	$10.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $21.12 / $37.76	Professional	TC	$14.44	$21.12	$37.76