Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.32 / $83.53 / $206.67	Facility	26	$29.32	$83.53	$206.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $122.25 / $215.38	Professional		$101.73	$122.25	$215.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.32 / $30.85 / $70.95	Professional	26	$29.32	$30.85	$70.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.41 / $79.15 / $125.21	Professional	TC	$72.41	$79.15	$125.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $137.91 / $272.43	Professional		$132.00	$137.91	$272.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $35.97 / $35.97 / $71.73	Professional	26	$35.97	$35.97	$71.73
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $96.02 / $101.93 / $127.49	Professional	TC	$96.02	$101.93	$127.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $147.74 / $334.80	Professional		$94.18	$147.74	$334.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.49 / $40.01 / $101.20	Professional	26	$27.49	$40.01	$101.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.45 / $100.09 / $233.61	Professional	TC	$65.45	$100.09	$233.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $129.82 / $248.50	Professional		$108.57	$129.82	$248.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.75 / $37.79 / $71.08	Professional	26	$32.75	$37.79	$71.08
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $75.81 / $92.02 / $177.43	Professional	TC	$75.81	$92.02	$177.43
United Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $158.35 / $360.06	Professional		$98.81	$158.35	$360.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $36.84 / $97.85	Professional	26	$26.71	$36.84	$97.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.76 / $112.13 / $244.21	Professional	TC	$69.76	$112.13	$244.21