Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $210.14 / $510.00	Facility		$76.30	$210.14	$510.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.47 / $21.38 / $54.08	Facility	26	$17.47	$21.38	$54.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $58.15 / $210.14 / $431.06	Facility	TC	$58.15	$210.14	$431.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $31.53 / $76.30	Professional		$18.66	$31.53	$76.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $7.78 / $18.66	Professional	26	$7.23	$7.78	$18.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $24.03 / $58.15	Professional	TC	$21.84	$24.03	$58.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $37.29 / $90.76	Professional		$34.22	$37.29	$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 $24.94 / $27.99 / $30.51	Professional	TC	$24.94	$27.99	$30.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.57 / $193.74 / $729.07	Facility		$113.57	$193.74	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $44.33 / $134.19	Professional		$29.62	$44.33	$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 $22.51 / $32.35 / $102.22	Professional	TC	$22.51	$32.35	$102.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $78.26 / $78.26	Professional		$35.18	$78.26	$78.26
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 / $59.66 / $59.66	Professional	TC	$26.73	$59.66	$59.66
United Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $37.32 / $99.16	Professional		$27.28	$37.32	$99.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $17.44 / $23.57	Professional	26	$6.60	$17.44	$23.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $32.79 / $75.59	Professional	TC	$19.66	$32.79	$75.59