Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $39.81	Professional		$23.99	$28.84	$39.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $30.20	Professional	26	$19.05	$22.91	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.98 / $8.91	Professional	TC	$2.00	$3.98	$8.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $58.88	Professional		$33.11	$52.48	$58.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $17.78 / $20.89	Professional	26	$16.22	$17.78	$20.89
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $36.31 / $40.74	Professional	TC	$12.59	$36.31	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $128.82	Professional		$22.91	$30.20	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.88 / $107.15	Professional	26	$17.38	$21.88	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.38 / $11.75 / $30.90	Professional	TC	$1.38	$11.75	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $57.54	Professional		$31.62	$31.62	$57.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $50.12	Professional	26	$26.92	$26.92	$50.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.68 / $4.68 / $7.59	Professional	TC	$4.68	$4.68	$7.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $72.44	Professional		$20.89	$35.48	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.95 / $61.66	Professional	26	$12.59	$19.95	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $9.77 / $33.88	Professional	TC	$2.95	$9.77	$33.88