Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.98 / $32.94 / $85.07	Facility	26	$8.98	$32.94	$85.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $33.34 / $36.67	Professional		$30.79	$33.34	$36.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $8.98 / $11.15	Professional	26	$8.65	$8.98	$11.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.14 / $24.36 / $25.92	Professional	TC	$22.14	$24.36	$25.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $40.42 / $107.84	Professional		$39.79	$40.42	$107.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $12.68 / $13.82	Professional	26	$11.41	$12.68	$13.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $27.74 / $30.24	Professional	TC	$24.97	$27.74	$30.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $44.76 / $143.30	Professional		$31.33	$44.76	$143.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $15.44 / $38.24	Professional	26	$8.56	$15.44	$38.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $30.54 / $105.06	Professional	TC	$22.82	$30.54	$105.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $81.94 / $81.94	Professional		$37.21	$81.94	$81.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $22.26 / $22.26	Professional	26	$10.11	$22.26	$22.26
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.09 / $59.66 / $59.66	Professional	TC	$27.09	$59.66	$59.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $35.22 / $103.83	Professional		$28.64	$35.22	$103.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $14.71 / $28.21	Professional	26	$8.53	$14.71	$28.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.10 / $34.39 / $75.62	Professional	TC	$20.10	$34.39	$75.62