Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $467.74	Facility		$63.10	$125.89	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $21.38 / $53.70	Facility	26	$7.08	$21.38	$53.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $54.95 / $138.04	Facility	TC	$19.05	$54.95	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $81.28	Professional		$21.88	$37.15	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $28.84	Professional	26	$7.08	$9.33	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.50 / $50.12	Professional	TC	$15.14	$19.50	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $30.90 / $109.65	Professional		$9.77	$30.90	$109.65
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.13 / $8.91	Professional	26	$7.94	$8.13	$8.91
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.39 / $24.55	Professional	TC	$19.05	$22.39	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $162.18 / $223.87	Facility		$91.20	$162.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $79.43	Professional		$24.55	$36.31	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $22.39	Professional	26	$7.08	$10.00	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.12 / $51.29	Professional	TC	$16.60	$25.12	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $69.18	Professional		$30.20	$35.48	$69.18
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 $21.38 / $25.70 / $51.29	Professional	TC	$21.38	$25.70	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $588.84	Facility		$426.58	$501.19	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $83.18	Professional		$21.88	$33.88	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $23.44	Professional	26	$6.61	$10.47	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $24.55 / $60.26	Professional	TC	$14.45	$24.55	$60.26