Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $19.05 / $20.42	Facility	26	$7.94	$19.05	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $144.54	Professional		$47.86	$60.26	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $28.18	Professional	26	$7.94	$8.91	$28.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.13 / $8.32	Professional	52	$8.13	$8.13	$8.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $51.29 / $95.50	Professional	TC	$42.66	$51.29	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $74.13 / $354.81	Professional		$14.13	$74.13	$354.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.47 / $12.88	Professional	26	$9.55	$10.47	$12.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $63.10 / $75.86	Professional	TC	$56.23	$63.10	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $229.09	Professional		$54.95	$74.13	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.72 / $33.88	Professional	26	$8.71	$10.72	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $64.57 / $199.53	Professional	TC	$45.71	$64.57	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $134.90	Professional		$70.79	$74.13	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.23 / $19.05	Professional	26	$9.77	$10.23	$19.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $63.10 / $114.82	Professional	TC	$60.26	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $134.90	Professional		$46.77	$64.57	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.55 / $20.89	Professional	26	$6.92	$9.55	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $54.95 / $114.82	Professional	TC	$39.81	$54.95	$114.82