Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.53 / $17.54 / $18.97	Facility	26	$7.53	$17.54	$18.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $26.89 / $48.34	Professional		$25.16	$26.89	$48.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $7.53 / $10.73	Professional	26	$7.36	$7.53	$10.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $19.36 / $35.58	Professional	TC	$17.80	$19.36	$35.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $31.78 / $91.97	Professional		$31.78	$31.78	$91.97
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $8.23 / $10.45	Professional	26	$8.23	$8.23	$10.45
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.55 / $23.55 / $30.90	Professional	TC	$23.55	$23.55	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $45.07 / $110.26	Professional		$29.85	$45.07	$110.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $10.06 / $31.31	Professional	26	$7.98	$10.06	$31.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.62 / $34.65 / $78.95	Professional	TC	$21.62	$34.65	$78.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $32.40 / $64.56	Professional		$29.32	$32.40	$64.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $8.93 / $17.79	Professional	26	$8.11	$8.93	$17.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $23.48 / $46.77	Professional	TC	$21.24	$23.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $39.86 / $81.75	Professional		$28.61	$39.86	$81.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $8.19 / $22.52	Professional	26	$6.53	$8.19	$22.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $28.82 / $59.23	Professional	TC	$21.78	$28.82	$59.23