Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.27 / $44.14 / $144.22	Facility	26	$16.27	$44.14	$144.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $50.48 / $83.60	Professional		$50.48	$50.48	$83.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $18.01 / $31.67	Professional	26	$16.27	$18.01	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.22 / $34.22 / $56.53	Professional	TC	$34.22	$34.22	$56.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $58.59 / $250.52	Professional		$54.24	$58.59	$250.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $19.66 / $50.44	Professional	26	$18.92	$19.66	$50.44
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $34.58 / $39.67 / $144.18	Professional	TC	$34.58	$39.67	$144.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $89.19 / $219.62	Professional		$51.83	$89.19	$219.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.69 / $25.76 / $69.16	Professional	26	$17.69	$25.76	$69.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.39 / $60.37 / $130.47	Professional	TC	$33.39	$60.37	$130.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $61.78 / $119.10	Professional		$51.74	$61.78	$119.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $20.22 / $38.46	Professional	26	$17.48	$20.22	$38.46
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.25 / $41.56 / $80.64	Professional	TC	$34.25	$41.56	$80.64
United Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $88.97 / $131.85	Professional		$49.56	$88.97	$131.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $24.12 / $41.99	Professional	26	$14.95	$24.12	$41.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.17 / $52.11 / $89.86	Professional	TC	$33.17	$52.11	$89.86