Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $123.03 / $812.83	Facility		$42.66	$123.03	$812.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $19.05 / $53.70	Facility	26	$7.08	$19.05	$53.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $44.67 / $123.03	Facility	TC	$16.98	$44.67	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $58.88	Professional		$15.85	$25.12	$58.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.71 / $36.31	Professional	26	$7.08	$8.71	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $15.14 / $33.88	Professional	TC	$8.91	$15.14	$33.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $26.92 / $309.03	Professional		$8.32	$26.92	$309.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.12 / $22.39	Professional	26	$7.76	$9.12	$22.39
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $19.50 / $19.95	Professional	TC	$18.20	$19.50	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $724.44	Facility		$81.28	$81.28	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $74.13	Professional		$19.50	$23.44	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.47 / $23.44	Professional	26	$7.41	$10.47	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $14.13 / $50.12	Professional	TC	$10.72	$14.13	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $60.26	Professional		$26.92	$32.36	$60.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.00 / $18.62	Professional	26	$8.71	$10.00	$18.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $21.88 / $41.69	Professional	TC	$18.20	$21.88	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $489.78	Facility		$363.08	$416.87	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.90 / $75.86	Professional		$16.22	$30.90	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.96 / $23.44	Professional	26	$7.24	$10.96	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $20.42 / $53.70	Professional	TC	$9.12	$20.42	$53.70