Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $224.48 / $493.85	Facility		$82.65	$224.48	$493.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $21.38 / $54.08	Facility	26	$7.50	$21.38	$54.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $78.06 / $210.14 / $448.96	Facility	TC	$78.06	$210.14	$448.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $39.76 / $96.21	Professional		$28.55	$39.76	$96.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $7.99 / $18.66	Professional	26	$7.23	$7.99	$18.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.75 / $32.26 / $78.06	Professional	TC	$28.75	$32.26	$78.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $45.83 / $84.61	Professional		$37.89	$45.83	$84.61
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 $29.59 / $33.21 / $36.52	Professional	TC	$29.59	$33.21	$36.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $255.62 / $729.07	Facility		$154.03	$255.62	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $48.27 / $169.67	Professional		$32.11	$48.27	$169.67
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 $22.74 / $34.84 / $137.69	Professional	TC	$22.74	$34.84	$137.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $98.42 / $98.42	Professional		$44.70	$98.42	$98.42
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 $36.25 / $79.81 / $79.81	Professional	TC	$36.25	$79.81	$79.81
United Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $47.02 / $124.71	Professional		$27.42	$47.02	$124.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.83 / $11.98 / $23.57	Professional	26	$6.83	$11.98	$23.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $30.32 / $101.14	Professional	TC	$20.82	$30.32	$101.14