Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.68 / $28.26 / $84.22	Facility	26	$11.68	$28.26	$84.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $53.98 / $72.65	Professional		$50.07	$53.98	$72.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $11.68 / $15.27	Professional	26	$11.23	$11.68	$15.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.67 / $41.53 / $57.87	Professional	TC	$36.67	$41.53	$57.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $67.70 / $104.21	Professional		$56.91	$67.70	$104.21
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $16.26 / $17.72	Professional	26	$14.63	$16.26	$17.72
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $42.21 / $46.90 / $52.02	Professional	TC	$42.21	$46.90	$52.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $75.48 / $244.20	Professional		$48.95	$75.48	$244.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $19.89 / $49.76	Professional	26	$11.38	$19.89	$49.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.94 / $54.04 / $194.44	Professional	TC	$36.94	$54.04	$194.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $142.68 / $142.68	Professional		$65.52	$142.68	$142.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $28.97 / $28.97	Professional	26	$13.52	$28.97	$28.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $52.00 / $113.71 / $113.71	Professional	TC	$52.00	$113.71	$113.71
United Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $81.06 / $180.79	Professional		$43.28	$81.06	$180.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $32.67 / $36.71	Professional	26	$11.49	$32.67	$36.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.93 / $52.02 / $144.08	Professional	TC	$31.93	$52.02	$144.08