Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Professional		$91.20	$91.20	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $24.55 / $29.51	Professional	26	$24.55	$24.55	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $66.07 / $79.43	Professional	TC	$66.07	$66.07	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $177.83	Professional		$61.66	$64.57	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $34.67 / $45.71	Professional	26	$30.20	$34.67	$45.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $104.71 / $131.83	Professional	TC	$89.13	$104.71	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $151.36	Professional		$66.07	$100.00	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $35.48	Professional	26	$14.45	$19.50	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $77.62 / $128.82	Professional	TC	$48.98	$77.62	$128.82