Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $94.16 / $182.21	Facility		$41.40	$94.16	$182.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.34 / $27.33 / $66.78	Facility	26	$22.34	$27.33	$66.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $32.86 / $43.62	Professional		$30.22	$32.86	$43.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $9.59 / $23.20	Professional	26	$9.23	$9.59	$23.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.41 / $23.63 / $31.69	Professional	TC	$22.41	$23.63	$31.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $41.06 / $96.71	Professional		$35.56	$41.06	$96.71
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.91 / $12.98	Professional	26	$10.72	$11.91	$12.98
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $24.03 / $26.70 / $29.15	Professional	TC	$24.03	$26.70	$29.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.35 / $206.83 / $729.07	Facility		$121.35	$206.83	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $47.86 / $151.60	Professional		$31.57	$47.86	$151.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $15.53 / $40.86	Professional	26	$9.10	$15.53	$40.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $31.32 / $110.73	Professional	TC	$21.34	$31.32	$110.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $86.67 / $86.67	Professional		$39.36	$86.67	$86.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $22.97 / $22.97	Professional	26	$10.80	$22.97	$22.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $63.70 / $63.70	Professional	TC	$28.57	$63.70	$63.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $36.09 / $109.83	Professional		$26.49	$36.09	$109.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $12.76 / $29.11	Professional	26	$8.52	$12.76	$29.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $35.63 / $80.72	Professional	TC	$17.96	$35.63	$80.72