Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $30.90 / $33.11	Facility	26	$12.88	$30.90	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $120.23	Professional		$33.88	$43.65	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $42.66	Professional	26	$12.02	$15.14	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.70 / $38.90	Professional	TC	$21.88	$25.70	$38.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $43.65 / $114.82	Professional		$23.44	$43.65	$114.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.79 / $25.70	Professional	26	$13.49	$14.79	$25.70
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $28.84 / $41.69	Professional	TC	$26.30	$28.84	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $158.49	Professional		$37.15	$46.77	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.38 / $56.23	Professional	26	$13.80	$17.38	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.20 / $102.33	Professional	TC	$23.99	$30.20	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $91.20	Professional		$45.71	$47.86	$91.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $15.49 / $30.90	Professional	26	$14.79	$15.49	$30.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $32.36 / $60.26	Professional	TC	$30.90	$32.36	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $93.33	Professional		$30.20	$43.65	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $33.88	Professional	26	$11.22	$15.85	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $60.26	Professional	TC	$19.50	$26.92	$60.26