Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $190.55 / $501.19	Facility		$77.62	$190.55	$501.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $22.39 / $66.07	Facility	26	$8.91	$22.39	$66.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $60.26 / $165.96	Facility	TC	$22.91	$60.26	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $102.33	Professional		$26.92	$37.15	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $10.23 / $43.65	Professional	26	$2.29	$10.23	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.88 / $67.61	Professional	TC	$16.22	$21.88	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $37.15 / $309.03	Professional		$9.77	$37.15	$309.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.96 / $12.02	Professional	26	$9.77	$10.96	$12.02
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $24.55 / $35.48	Professional	TC	$23.99	$24.55	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $724.44	Facility		$109.65	$109.65	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $95.50	Professional		$26.92	$36.31	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $27.54	Professional	26	$8.91	$12.59	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $67.61	Professional	TC	$17.78	$23.99	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $79.43	Professional		$35.48	$41.69	$79.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.02 / $22.91	Professional	26	$10.47	$12.02	$22.91
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $29.51 / $56.23	Professional	TC	$24.55	$29.51	$56.23
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 $25.12 / $38.90 / $100.00	Professional		$25.12	$38.90	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.88 / $28.84	Professional	26	$8.51	$12.88	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $70.79	Professional	TC	$16.98	$26.92	$70.79