Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $121.86 / $915.02	Facility		$37.79	$121.86	$915.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $18.85 / $53.78	Facility	26	$7.79	$18.85	$53.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $41.43 / $121.86 / $274.99	Facility	TC	$41.43	$121.86	$274.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $23.08 / $30.70	Professional		$19.14	$23.08	$30.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $7.94 / $22.20	Professional	26	$7.51	$7.94	$22.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.66 / $15.58 / $21.05	Professional	TC	$10.66	$15.58	$21.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $29.19 / $230.95	Professional		$27.72	$29.19	$230.95
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $10.26 / $11.18	Professional	26	$9.23	$10.26	$11.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.26 / $17.46 / $19.18	Professional	TC	$17.26	$17.46	$19.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $119.11 / $729.07	Facility		$80.89	$119.11	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $29.33 / $105.62	Professional		$20.50	$29.33	$105.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $13.40 / $33.19	Professional	26	$7.38	$13.40	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.82 / $16.73 / $72.42	Professional	TC	$11.82	$16.73	$72.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $60.43 / $60.43	Professional		$27.81	$60.43	$60.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $18.50 / $18.50	Professional	26	$8.77	$18.50	$18.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $41.91 / $41.91	Professional	TC	$19.04	$41.91	$41.91
United Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $30.65 / $76.58	Professional		$16.35	$30.65	$76.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $10.46 / $23.44	Professional	26	$7.17	$10.46	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $24.35 / $53.14	Professional	TC	$9.18	$24.35	$53.14