Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $89.87 / $430.73	Facility		$72.08	$89.87	$430.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $21.38 / $54.08	Facility	26	$7.50	$21.38	$54.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $55.98 / $85.46 / $233.92	Facility	TC	$55.98	$85.46	$233.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $30.44 / $38.93	Professional		$29.07	$30.44	$38.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $7.50 / $17.30	Professional	26	$7.23	$7.50	$17.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $22.18 / $29.64	Professional	TC	$21.69	$22.18	$29.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $36.24 / $90.76	Professional		$31.64	$36.24	$90.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.31 / $10.15	Professional	26	$8.38	$9.31	$10.15
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $24.94 / $26.93	Professional	TC	$22.33	$24.94	$26.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.57 / $184.10 / $729.07	Facility		$113.57	$184.10	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $41.22 / $134.19	Professional		$29.31	$41.22	$134.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $12.13 / $31.98	Professional	26	$7.11	$12.13	$31.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $28.22 / $102.22	Professional	TC	$20.52	$28.22	$102.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $77.47 / $77.47	Professional		$35.18	$77.47	$77.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $18.60 / $18.60	Professional	26	$8.44	$18.60	$18.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.73 / $58.87 / $58.87	Professional	TC	$26.73	$58.87	$58.87
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $45.31 / $98.16	Professional		$23.94	$45.31	$98.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $11.86 / $23.57	Professional	26	$6.60	$11.86	$23.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $27.78 / $74.59	Professional	TC	$17.34	$27.78	$74.59