Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $5.89 / $7.24	Facility	26	$2.00	$5.89	$7.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $53.70	Professional		$14.13	$23.99	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $8.91	Professional	26	$2.00	$3.98	$8.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $28.84	Professional	TC	$10.96	$16.98	$28.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $16.98 / $54.95	Professional		$3.09	$16.98	$54.95
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $2.88 / $4.57	Professional	26	$2.57	$2.88	$4.57
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.45 / $19.95	Professional	TC	$14.13	$14.45	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $60.26	Professional		$15.85	$29.51	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $6.46 / $10.47	Professional	26	$2.75	$6.46	$10.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $24.55 / $50.12	Professional	TC	$13.18	$24.55	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $35.48	Professional		$18.20	$19.05	$35.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $2.95 / $6.03	Professional	26	$2.75	$2.95	$6.03
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $16.22 / $29.51	Professional	TC	$15.14	$16.22	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $45.71	Professional		$18.62	$25.12	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.72 / $5.25 / $9.33	Professional	26	$3.72	$5.25	$9.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.95 / $38.02	Professional	TC	$14.45	$19.95	$38.02