Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $204.66 / $451.35	Facility		$68.45	$204.66	$451.35
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.89 / $19.63 / $49.64	Facility	26	$6.89	$19.63	$49.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $49.86 / $152.36 / $224.48	Facility	TC	$49.86	$152.36	$224.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $28.12 / $59.87	Professional		$17.01	$28.12	$59.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.48 / $17.01	Professional	26	$6.65	$7.48	$17.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $21.40 / $51.78	Professional	TC	$19.46	$21.40	$51.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $32.93 / $81.43	Professional		$30.55	$32.93	$81.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $8.94 / $9.76	Professional	26	$8.06	$8.94	$9.76
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $22.51 / $23.98	Professional	TC	$21.58	$22.51	$23.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $167.07 / $729.07	Facility		$101.12	$167.07	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $37.61 / $120.23	Professional		$26.42	$37.61	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $11.64 / $29.36	Professional	26	$6.53	$11.64	$29.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $25.13 / $90.87	Professional	TC	$18.84	$25.13	$90.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $69.48 / $69.48	Professional		$31.56	$69.48	$69.48
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 $23.80 / $52.40 / $52.40	Professional	TC	$23.80	$52.40	$52.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.74 / $88.04	Professional		$22.39	$34.74	$88.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $11.52 / $21.64	Professional	26	$6.03	$11.52	$21.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $22.60 / $66.40	Professional	TC	$15.89	$22.60	$66.40