Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.28 / $26.28 / $28.38	Facility	26	$11.28	$26.28	$28.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $39.61 / $49.31	Professional		$37.03	$39.61	$49.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $11.28 / $13.39	Professional	26	$10.99	$11.28	$13.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.04 / $28.34 / $33.10	Professional	TC	$26.04	$28.34	$33.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $57.61 / $120.62	Professional		$57.61	$57.61	$120.62
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 $41.60 / $41.60 / $54.50	Professional	TC	$41.60	$41.60	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $58.01 / $176.07	Professional		$41.82	$58.01	$176.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $15.56 / $47.64	Professional	26	$11.80	$15.56	$47.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.88 / $42.45 / $125.95	Professional	TC	$29.88	$42.45	$125.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $52.64 / $104.87	Professional		$47.62	$52.64	$104.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $13.38 / $26.65	Professional	26	$12.14	$13.38	$26.65
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.52 / $39.26 / $78.22	Professional	TC	$35.52	$39.26	$78.22
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.70 / $126.16	Professional		$33.20	$43.70	$126.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $13.35 / $33.75	Professional	26	$9.71	$13.35	$33.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $33.19 / $82.55	Professional	TC	$22.81	$33.19	$82.55