Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $48.98 / $79.43	Facility	26	$10.96	$48.98	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $117.49	Professional		$34.67	$44.67	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $39.81	Professional	26	$10.00	$15.14	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $64.57	Professional	TC	$25.12	$30.90	$64.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $47.86 / $165.96	Professional		$12.30	$47.86	$165.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.18 / $14.45	Professional	26	$11.75	$13.18	$14.45
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $35.48 / $43.65	Professional	TC	$30.90	$35.48	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $134.90	Professional		$38.90	$50.12	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $33.11	Professional	26	$10.47	$14.79	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $87.10	Professional	TC	$27.54	$36.31	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $112.20	Professional		$50.12	$58.88	$112.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.79 / $27.54	Professional	26	$12.88	$14.79	$27.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $44.67 / $85.11	Professional	TC	$37.15	$44.67	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $141.25	Professional		$34.67	$54.95	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $34.67	Professional	26	$10.00	$16.22	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $107.15	Professional	TC	$24.55	$39.81	$107.15