Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $94.49 / $494.70	Facility		$81.03	$94.49	$494.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $22.20 / $56.15	Facility	26	$7.79	$22.20	$56.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $62.88 / $99.08 / $283.64	Facility	TC	$62.88	$99.08	$283.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $34.78 / $38.53	Professional		$32.04	$34.78	$38.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.50 / $18.85	Professional	26	$7.51	$9.50	$18.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.53 / $25.92 / $26.99	Professional	TC	$24.53	$25.92	$26.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $41.65 / $105.32	Professional		$39.75	$41.65	$105.32
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $12.01 / $13.44	Professional	26	$10.81	$12.01	$13.44
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.04 / $27.74 / $30.25	Professional	TC	$27.04	$27.74	$30.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.57 / $214.69 / $896.90	Facility		$127.57	$214.69	$896.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $51.55 / $148.18	Professional		$32.67	$51.55	$148.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $14.96 / $33.19	Professional	26	$7.43	$14.96	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $33.90 / $114.99	Professional	TC	$23.47	$33.90	$114.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $85.43 / $85.43	Professional		$38.79	$85.43	$85.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $19.30 / $19.30	Professional	26	$8.77	$19.30	$19.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $66.12 / $66.12	Professional	TC	$30.03	$66.12	$66.12
United Facility/Professional Facility Modifier Low / Median / High Price $516.59 / $538.03 / $597.34	Facility		$516.59	$538.03	$597.34
United Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $92.51 / $108.26	Professional		$29.62	$92.51	$108.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $24.47 / $29.19	Professional	26	$9.07	$24.47	$29.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.10 / $37.57 / $83.79	Professional	TC	$20.10	$37.57	$83.79