Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $41.24 / $41.24	Facility	26	$41.24	$41.24	$41.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $86.17 / $90.47	Professional		$79.34	$86.17	$90.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $41.24 / $45.77	Professional	26	$40.11	$41.24	$45.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $43.99 / $44.93	Professional	TC	$37.35	$43.99	$44.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $85.88 / $141.69	Professional		$77.29	$85.88	$141.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $40.35 / $43.98	Professional	26	$36.32	$40.35	$43.98
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $40.11 / $45.53 / $49.63	Professional	TC	$40.11	$45.53	$49.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $225.33 / $374.07	Professional		$80.56	$225.33	$374.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.43 / $108.62 / $185.60	Professional	26	$46.43	$108.62	$185.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.25 / $119.45 / $188.47	Professional	TC	$25.25	$119.45	$188.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $203.84 / $203.84	Professional		$91.11	$203.84	$203.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.86 / $96.57 / $96.57	Professional	26	$43.86	$96.57	$96.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $47.24 / $107.25 / $107.25	Professional	TC	$47.24	$107.25	$107.25
United Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $213.21 / $258.13	Professional		$65.87	$213.21	$258.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $90.50 / $122.30	Professional	26	$34.97	$90.50	$122.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $107.66 / $135.83	Professional	TC	$27.30	$107.66	$135.83