Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $296.66 / $719.07	Facility		$69.84	$296.66	$719.07
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $18.85 / $56.15	Facility	26	$7.79	$18.85	$56.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $49.09 / $210.14 / $235.72	Facility	TC	$49.09	$210.14	$235.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $28.86 / $47.60	Professional		$26.66	$28.86	$47.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.49 / $18.85	Professional	26	$7.51	$8.49	$18.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $19.75 / $25.97	Professional	TC	$18.21	$19.75	$25.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $34.24 / $109.33	Professional		$32.17	$34.24	$109.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $10.26 / $11.18	Professional	26	$9.23	$10.26	$11.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $21.91 / $23.98	Professional	TC	$21.58	$21.91	$23.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.56 / $148.90 / $729.07	Facility		$99.56	$148.90	$729.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $40.17 / $124.06	Professional		$24.78	$40.17	$124.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $13.40 / $33.19	Professional	26	$7.38	$13.40	$33.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $26.67 / $90.87	Professional	TC	$17.34	$26.67	$90.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $71.70 / $71.70	Professional		$32.21	$71.70	$71.70
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 $23.44 / $52.40 / $52.40	Professional	TC	$23.44	$52.40	$52.40
United Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $53.76 / $90.87	Professional		$23.09	$53.76	$90.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $12.43 / $24.47	Professional	26	$7.17	$12.43	$24.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $20.21 / $66.40	Professional	TC	$15.64	$20.21	$66.40