Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.30 / $47.32 / $51.12	Facility	26	$20.30	$47.32	$51.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $32.40 / $56.60	Professional		$30.99	$32.40	$56.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $20.30 / $29.29	Professional	26	$19.84	$20.30	$29.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.50 / $16.21 / $17.34	Professional	52	$15.50	$16.21	$17.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.15 / $12.10 / $15.16	Professional	TC	$11.15	$12.10	$15.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $309.60	Professional		$36.22	$36.22	$309.60
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $23.43 / $29.76	Professional	26	$23.43	$23.43	$29.76
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $12.79 / $12.79 / $16.23	Professional	TC	$12.79	$12.79	$16.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $44.03 / $138.85	Professional		$33.47	$44.03	$138.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $28.01 / $87.12	Professional	26	$21.60	$28.01	$87.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.04 / $15.39 / $51.73	Professional	TC	$12.04	$15.39	$51.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $39.47 / $77.83	Professional		$35.71	$39.47	$77.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $24.10 / $48.01	Professional	26	$21.91	$24.10	$48.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $15.37 / $29.82	Professional	TC	$13.91	$15.37	$29.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $37.70 / $93.63	Professional		$26.48	$37.70	$93.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $24.07 / $60.80	Professional	26	$17.95	$24.07	$60.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.74 / $11.39 / $35.86	Professional	TC	$8.74	$11.39	$35.86