Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $83.18 / $338.84	Facility		$70.79	$83.18	$338.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $20.42 / $50.12	Facility	26	$7.08	$20.42	$50.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $69.18 / $169.82	Facility	TC	$23.99	$69.18	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $29.51 / $81.28	Professional		$8.32	$29.51	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $13.18 / $38.02	Professional	26	$6.03	$13.18	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $63.10	Professional	TC	$16.98	$22.91	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $120.23	Professional		$25.12	$36.31	$120.23
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.13 / $9.33	Professional	26	$7.41	$8.13	$9.33
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $25.12 / $30.90	Professional	TC	$22.91	$25.12	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $199.53	Facility		$114.82	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $93.33	Professional		$26.30	$35.48	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.77 / $21.38	Professional	26	$6.61	$9.77	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $60.26	Professional	TC	$19.50	$26.30	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $75.86	Professional		$33.88	$40.74	$75.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.55 / $16.98	Professional	26	$8.32	$9.55	$16.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.90 / $58.88	Professional	TC	$25.70	$30.90	$58.88
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 $23.44 / $38.02 / $95.50	Professional		$23.44	$38.02	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.23 / $21.88	Professional	26	$6.61	$10.23	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.18 / $74.13	Professional	TC	$16.98	$28.18	$74.13