Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.93 / $25.46 / $27.50	Facility	26	$10.93	$25.46	$27.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $43.76 / $80.43	Professional		$40.84	$43.76	$80.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $10.93 / $15.79	Professional	26	$10.68	$10.93	$15.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.92 / $32.83 / $38.99	Professional	TC	$29.92	$32.83	$38.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $59.04 / $126.11	Professional		$59.04	$59.04	$126.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.01 / $16.01 / $20.97	Professional	26	$16.01	$16.01	$20.97
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $43.03 / $43.03 / $56.37	Professional	TC	$43.03	$43.03	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $59.60 / $183.77	Professional		$43.04	$59.60	$183.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.61 / $15.56 / $46.28	Professional	26	$11.61	$15.56	$46.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.78 / $43.64 / $137.49	Professional	TC	$31.78	$43.64	$137.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $53.45 / $105.68	Professional		$48.36	$53.45	$105.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $12.97 / $25.84	Professional	26	$11.79	$12.97	$25.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.61 / $40.47 / $79.81	Professional	TC	$36.61	$40.47	$79.81
United Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $44.74 / $124.73	Professional		$35.21	$44.74	$124.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $12.02 / $31.08	Professional	26	$9.68	$12.02	$31.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.22 / $32.20 / $91.95	Professional	TC	$25.22	$32.20	$91.95