Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $126.59 / $612.85	Facility		$44.67	$126.59	$612.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.23 / $154.80 / $375.62	Facility	26	$27.23	$154.80	$375.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $78.22 / $237.66	Professional		$44.67	$78.22	$237.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $34.18 / $48.42	Professional	26	$27.23	$34.18	$48.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $17.45 / $41.78	Professional	TC	$17.45	$17.45	$41.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $62.22 / $339.06	Professional		$61.46	$62.22	$339.06
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $35.76 / $49.24	Professional	26	$35.76	$35.76	$49.24
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $26.46 / $76.27	Professional	TC	$25.70	$26.46	$76.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $141.36 / $896.90	Facility		$82.45	$141.36	$896.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $110.06 / $221.72	Professional		$42.14	$110.06	$221.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $58.23 / $122.66	Professional	26	$25.80	$58.23	$122.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $50.52 / $104.07	Professional	TC	$16.34	$50.52	$104.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $110.99 / $110.99	Professional		$52.68	$110.99	$110.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.25 / $67.47 / $67.47	Professional	26	$32.25	$67.47	$67.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $43.54 / $43.54	Professional	TC	$20.43	$43.54	$43.54
United Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $74.66 / $160.81	Professional		$49.68	$74.66	$160.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.61 / $37.04 / $97.75	Professional	26	$28.61	$37.04	$97.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.94 / $31.75 / $63.06	Professional	TC	$20.94	$31.75	$63.06