Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $59.16 / $143.16	Professional		$50.84	$59.16	$143.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $29.22 / $68.20	Professional	26	$21.25	$29.22	$68.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.59 / $36.72 / $50.10	Professional	TC	$29.59	$36.72	$50.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $79.92 / $117.73	Professional		$78.41	$79.92	$117.73
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $29.22 / $30.71 / $60.32	Professional	26	$29.22	$30.71	$60.32
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $49.19 / $49.21 / $57.41	Professional	TC	$49.19	$49.21	$57.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $70.80 / $272.76	Professional		$31.45	$70.80	$272.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $33.36 / $103.46	Professional	26	$12.11	$33.36	$103.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $34.93 / $169.30	Professional	TC	$19.32	$34.93	$169.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $159.38 / $159.38	Professional		$87.18	$159.38	$159.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.65 / $59.40 / $59.40	Professional	26	$32.65	$59.40	$59.40
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $54.53 / $99.99 / $99.99	Professional	TC	$54.53	$99.99	$99.99
United Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $63.71 / $149.75	Professional		$48.17	$63.71	$149.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $23.10 / $62.70	Professional	26	$17.32	$23.10	$62.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.09 / $35.85 / $78.11	Professional	TC	$29.09	$35.85	$78.11