Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.12 / $30.56 / $33.02	Facility	26	$13.12	$30.56	$33.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $38.01 / $68.34	Professional		$35.47	$38.01	$68.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.80 / $13.12 / $19.98	Professional	26	$12.80	$13.12	$19.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $24.89 / $37.92	Professional	TC	$22.87	$24.89	$37.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $41.87 / $97.61	Professional		$41.87	$41.87	$97.61
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $14.74 / $14.74 / $28.83	Professional	26	$14.74	$14.74	$28.83
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.13 / $27.13 / $43.61	Professional	TC	$27.13	$27.13	$43.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $50.17 / $159.27	Professional		$37.61	$50.17	$159.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $17.64 / $55.81	Professional	26	$13.94	$17.64	$55.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.21 / $31.84 / $103.46	Professional	TC	$24.21	$31.84	$103.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $45.93 / $91.51	Professional		$41.55	$45.93	$91.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $15.57 / $31.02	Professional	26	$14.14	$15.57	$31.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $30.36 / $60.47	Professional	TC	$27.46	$30.36	$60.47
United Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $38.67 / $110.42	Professional		$30.33	$38.67	$110.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $14.82 / $39.28	Professional	26	$11.24	$14.82	$39.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $25.79 / $76.61	Professional	TC	$19.43	$25.79	$76.61