Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $158.03 / $342.31	Facility		$72.81	$158.03	$342.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.22 / $20.56 / $49.64	Facility	26	$7.22	$20.56	$49.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $55.98 / $83.94 / $224.48	Facility	TC	$55.98	$83.94	$224.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $29.48 / $49.99	Professional		$17.30	$29.48	$49.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $8.13 / $18.04	Professional	26	$6.95	$8.13	$18.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $21.84 / $29.64	Professional	TC	$21.35	$21.84	$29.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $36.17 / $90.76	Professional		$32.01	$36.17	$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 $22.70 / $24.94 / $26.93	Professional	TC	$22.70	$24.94	$26.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.57 / $191.12 / $729.07	Facility		$113.57	$191.12	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $42.27 / $131.58	Professional		$28.95	$42.27	$131.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $11.64 / $29.36	Professional	26	$6.55	$11.64	$29.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $29.77 / $102.22	Professional	TC	$20.52	$29.77	$102.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $75.94 / $75.94	Professional		$34.49	$75.94	$75.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $17.07 / $17.07	Professional	26	$7.75	$17.07	$17.07
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 $23.63 / $34.63 / $96.23	Professional		$23.63	$34.63	$96.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.83 / $16.01 / $21.64	Professional	26	$6.83	$16.01	$21.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $28.22 / $74.59	Professional	TC	$17.03	$28.22	$74.59