Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $188.98 / $669.35	Facility		$78.19	$188.98	$669.35
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.26 / $22.40 / $66.78	Facility	26	$9.26	$22.40	$66.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $55.75 / $233.92 / $561.20	Facility	TC	$55.75	$233.92	$561.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $32.31 / $53.90	Professional		$29.80	$32.31	$53.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $9.26 / $18.89	Professional	26	$8.93	$9.26	$18.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $21.27 / $28.42	Professional	TC	$19.66	$21.27	$28.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $38.03 / $230.95	Professional		$35.22	$38.03	$230.95
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $12.20 / $13.30	Professional	26	$10.98	$12.20	$13.30
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $23.03 / $25.83	Professional	TC	$23.03	$23.03	$25.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $160.36 / $729.07	Facility		$108.90	$160.36	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $44.76 / $137.41	Professional		$27.59	$44.76	$137.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $15.94 / $39.45	Professional	26	$8.78	$15.94	$39.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.94 / $28.74 / $97.96	Professional	TC	$18.94	$28.74	$97.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $79.42 / $79.42	Professional		$36.07	$79.42	$79.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.43 / $22.97 / $22.97	Professional	26	$10.43	$22.97	$22.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.63 / $56.45 / $56.45	Professional	TC	$25.63	$56.45	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $74.04 / $100.63	Professional		$25.99	$74.04	$100.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $11.78 / $29.11	Professional	26	$8.10	$11.78	$29.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $22.01 / $71.52	Professional	TC	$16.87	$22.01	$71.52