Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $210.14 / $510.85	Facility		$77.98	$210.14	$510.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.91 / $23.14 / $58.51	Facility	26	$18.91	$23.14	$58.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $61.34 / $210.14 / $448.96	Facility	TC	$61.34	$210.14	$448.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $33.47 / $80.98	Professional		$19.23	$33.47	$80.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $9.19 / $19.80	Professional	26	$7.81	$9.19	$19.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $25.35 / $61.34	Professional	TC	$21.69	$25.35	$61.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $38.40 / $91.73	Professional		$33.81	$38.40	$91.73
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $10.84 / $11.82	Professional	26	$9.66	$10.84	$11.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $24.94 / $28.77	Professional	TC	$22.97	$24.94	$28.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $187.51 / $729.07	Facility		$119.79	$187.51	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $42.24 / $142.51	Professional		$29.34	$42.24	$142.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $13.09 / $34.61	Professional	26	$7.70	$13.09	$34.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.63 / $28.22 / $107.89	Professional	TC	$20.63	$28.22	$107.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $83.02 / $83.02	Professional		$37.34	$83.02	$83.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $20.12 / $20.12	Professional	26	$9.14	$20.12	$20.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.20 / $62.89 / $62.89	Professional	TC	$28.20	$62.89	$62.89
United Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $39.90 / $105.19	Professional		$24.84	$39.90	$105.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $10.30 / $25.50	Professional	26	$7.18	$10.30	$25.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.91 / $44.62 / $79.69	Professional	TC	$18.91	$44.62	$79.69