Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.58 / $73.39 / $74.00	Facility	26	$30.58	$73.39	$74.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $52.13 / $58.72	Professional		$32.04	$52.13	$58.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $30.58 / $41.20	Professional	26	$17.19	$30.58	$41.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.85 / $23.83 / $28.14	Professional	TC	$14.85	$23.83	$28.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $53.08 / $108.99	Professional		$45.84	$53.08	$108.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $33.14 / $62.22	Professional	26	$28.62	$33.14	$62.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $19.93 / $46.77	Professional	TC	$17.21	$19.93	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $66.59 / $163.16	Professional		$45.25	$66.59	$163.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.67 / $40.54 / $93.15	Professional	26	$23.67	$40.54	$93.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $31.86 / $70.01	Professional	TC	$21.45	$31.86	$70.01