Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $210.14 / $561.20	Facility		$63.53	$210.14	$561.20
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 $55.22 / $168.79 / $561.20	Facility	TC	$55.22	$168.79	$561.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $28.19 / $66.15	Professional		$8.61	$28.19	$66.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.73 / $18.66	Professional	26	$6.65	$7.73	$18.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $23.70 / $57.35	Professional	TC	$19.94	$23.70	$57.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $35.79 / $83.49	Professional		$29.96	$35.79	$83.49
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 $20.82 / $24.31 / $26.56	Professional	TC	$20.82	$24.31	$26.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $188.50 / $729.07	Facility		$112.01	$188.50	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $41.75 / $130.16	Professional		$26.80	$41.75	$130.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $11.64 / $29.36	Professional	26	$6.55	$11.64	$29.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $29.02 / $100.80	Professional	TC	$18.48	$29.02	$100.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $75.13 / $75.13	Professional		$34.11	$75.13	$75.13
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 $26.36 / $58.05 / $58.05	Professional	TC	$26.36	$58.05	$58.05
United Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $56.64 / $95.20	Professional		$22.10	$56.64	$95.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $9.16 / $21.64	Professional	26	$6.60	$9.16	$21.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.54 / $24.97 / $73.56	Professional	TC	$15.54	$24.97	$73.56