Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.38 / $21.85 / $23.62	Facility	26	$9.38	$21.85	$23.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $38.76 / $78.15	Professional		$36.15	$38.76	$78.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $9.38 / $16.67	Professional	26	$9.16	$9.38	$16.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.99 / $29.38 / $55.27	Professional	TC	$26.99	$29.38	$55.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $47.85 / $152.41	Professional		$47.85	$47.85	$152.41
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $11.47 / $16.80	Professional	26	$11.47	$11.47	$16.80
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $36.38 / $36.38 / $53.53	Professional	TC	$36.38	$36.38	$53.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $76.84 / $159.27	Professional		$42.69	$76.84	$159.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $17.64 / $39.47	Professional	26	$10.25	$17.64	$39.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $58.16 / $119.79	Professional	TC	$32.44	$58.16	$119.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $46.35 / $92.33	Professional		$41.93	$46.35	$92.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $11.13 / $22.18	Professional	26	$10.11	$11.13	$22.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.86 / $35.22 / $70.15	Professional	TC	$31.86	$35.22	$70.15
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $61.89 / $116.92	Professional		$48.22	$61.89	$116.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $12.90 / $28.09	Professional	26	$10.26	$12.90	$28.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.14 / $46.90 / $88.83	Professional	TC	$37.14	$46.90	$88.83