Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $40.74 / $45.71	Facility	26	$15.85	$40.74	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $446.68	Professional		$53.70	$69.18	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $97.72	Professional	26	$15.85	$22.91	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $44.67 / $74.13	Professional	TC	$38.02	$44.67	$74.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $46.77 / $64.57	Professional		$15.14	$46.77	$64.57
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $19.05	Professional	26	$14.13	$16.98	$19.05
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $51.29 / $56.23	Professional	TC	$42.66	$51.29	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $263.03	Professional		$64.57	$91.20	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $75.86	Professional	26	$20.42	$28.18	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $63.10 / $186.21	Professional	TC	$42.66	$63.10	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $144.54	Professional		$70.79	$81.28	$144.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.39 / $40.74	Professional	26	$19.05	$22.39	$40.74
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $60.26 / $104.71	Professional	TC	$51.29	$60.26	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $117.49 / $186.21	Professional		$54.95	$117.49	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $35.48 / $51.29	Professional	26	$16.22	$35.48	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $85.11 / $134.90	Professional	TC	$38.90	$85.11	$134.90