Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $204.66 / $454.38	Facility		$83.36	$204.66	$454.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $18.14 / $56.15	Facility	26	$7.79	$18.14	$56.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $62.11 / $189.89 / $233.92	Facility	TC	$62.11	$189.89	$233.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $31.74 / $83.36	Professional		$9.50	$31.74	$83.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.83 / $29.08	Professional	26	$7.51	$8.83	$29.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.53 / $26.66 / $64.51	Professional	TC	$22.53	$26.66	$64.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $40.33 / $90.76	Professional		$35.67	$40.33	$90.76
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $10.69 / $11.65	Professional	26	$9.61	$10.69	$11.65
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $24.98 / $27.05 / $29.88	Professional	TC	$24.98	$27.05	$29.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.02 / $212.07 / $729.07	Facility		$126.02	$212.07	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $46.66 / $145.35	Professional		$29.07	$46.66	$145.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $13.09 / $33.19	Professional	26	$7.38	$13.09	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $33.39 / $112.15	Professional	TC	$21.90	$33.39	$112.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $84.62 / $84.62	Professional		$38.43	$84.62	$84.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $19.30 / $19.30	Professional	26	$8.77	$19.30	$19.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $65.31 / $65.31	Professional	TC	$29.66	$65.31	$65.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $38.04 / $107.23	Professional		$27.11	$38.04	$107.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $12.43 / $24.47	Professional	26	$7.61	$12.43	$24.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $37.57 / $82.76	Professional	TC	$19.63	$37.57	$82.76