Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $185.02 / $526.23	Facility		$79.34	$185.02	$526.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $23.20 / $69.15	Facility	26	$9.59	$23.20	$69.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $70.55 / $289.10 / $578.20	Facility	TC	$70.55	$289.10	$578.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $39.88 / $96.50	Professional		$36.74	$39.88	$96.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $9.59 / $23.20	Professional	26	$9.23	$9.59	$23.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.48 / $29.98 / $73.27	Professional	TC	$27.48	$29.98	$73.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $46.82 / $113.92	Professional		$43.89	$46.82	$113.92
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.06 / $14.24	Professional	26	$11.75	$13.06	$14.24
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.56 / $31.15 / $33.95	Professional	TC	$30.56	$31.15	$33.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.13 / $240.88 / $896.90	Facility		$143.13	$240.88	$896.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $56.41 / $170.05	Professional		$35.27	$56.41	$170.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $15.53 / $40.86	Professional	26	$9.10	$15.53	$40.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $40.61 / $129.18	Professional	TC	$25.42	$40.61	$129.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $97.98 / $97.98	Professional		$44.49	$97.98	$97.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $23.78 / $23.78	Professional	26	$10.80	$23.78	$23.78
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.69 / $74.19 / $74.19	Professional	TC	$33.69	$74.19	$74.19
United Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $47.88 / $124.15	Professional		$31.57	$47.88	$124.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $12.76 / $30.14	Professional	26	$9.15	$12.76	$30.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $69.41 / $94.01	Professional	TC	$23.94	$69.41	$94.01