Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.41 / $18.41 / $18.41	Facility	26	$18.41	$18.41	$18.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $71.73 / $72.51	Professional		$66.05	$71.73	$72.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $18.41 / $18.60	Professional	26	$17.64	$18.41	$18.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.40 / $53.32 / $53.90	Professional	TC	$48.40	$53.32	$53.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $178.67 / $178.67	Professional		$81.51	$178.67	$178.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $45.61 / $45.61	Professional	26	$21.08	$45.61	$45.61
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $60.43 / $133.06 / $133.06	Professional	TC	$60.43	$133.06	$133.06
United Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $100.73 / $253.32	Professional		$69.79	$100.73	$253.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.83 / $27.79 / $64.67	Professional	26	$14.83	$27.79	$64.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.13 / $94.78 / $188.65	Professional	TC	$53.13	$94.78	$188.65