Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.69 / $35.93 / $59.10	Facility	26	$29.69	$35.93	$59.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $300.52 / $536.96	Professional		$269.83	$300.52	$536.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.70 / $30.75 / $74.41	Professional	26	$29.70	$30.75	$74.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.13 / $270.12 / $480.02	Professional	TC	$240.13	$270.12	$480.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $414.92	Professional		$360.80	$360.80	$414.92
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $38.15 / $38.15 / $43.87	Professional	26	$38.15	$38.15	$43.87
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $322.64 / $322.64 / $371.05	Professional	TC	$322.64	$322.64	$371.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.04 / $389.46 / $815.02	Professional		$234.04	$389.46	$815.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $39.47 / $91.67	Professional	26	$26.88	$39.47	$91.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.10 / $349.99 / $723.35	Professional	TC	$207.10	$349.99	$723.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $358.72 / $664.30	Professional		$285.70	$358.72	$664.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.09 / $40.10 / $71.55	Professional	26	$33.09	$40.10	$71.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $252.01 / $319.36 / $591.40	Professional	TC	$252.01	$319.36	$591.40
United Facility/Professional Professional Modifier Low / Median / High Price $261.91 / $353.85 / $946.48	Professional		$261.91	$353.85	$946.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $33.77 / $69.67	Professional	26	$26.93	$33.77	$69.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.98 / $320.08 / $535.76	Professional	TC	$234.98	$320.08	$535.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.06 / $285.26 / $428.56	Professional		$242.06	$285.26	$428.56
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $27.86 / $32.83 / $47.39	Professional	26	$27.86	$32.83	$47.39
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $214.20 / $252.43 / $378.02	Professional	TC	$214.20	$252.43	$378.02