Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $125.72 / $130.87	Facility		$14.94	$125.72	$130.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.97 / $27.38 / $69.77	Facility	26	$6.97	$27.38	$69.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $12.78 / $25.65	Professional		$10.60	$12.78	$25.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $8.57 / $16.86	Professional	26	$6.97	$8.57	$16.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.62 / $4.21 / $8.76	Professional	TC	$3.62	$4.21	$8.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.79 / $32.59	Professional		$13.76	$13.79	$32.59
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $8.52 / $14.00	Professional	26	$8.52	$8.52	$14.00
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.43 / $5.26 / $5.73	Professional	TC	$3.43	$5.26	$5.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $28.75 / $209.46	Facility		$17.09	$28.75	$209.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $17.43 / $39.34	Professional		$9.99	$17.43	$39.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $10.82 / $24.13	Professional	26	$6.60	$10.82	$24.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.07 / $5.35 / $15.20	Professional	TC	$3.07	$5.35	$15.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $26.12 / $26.12	Professional		$12.48	$26.12	$26.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $17.26 / $17.26	Professional	26	$8.25	$17.26	$17.26
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.23 / $8.86 / $8.86	Professional	TC	$4.23	$8.86	$8.86
United Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $123.93 / $137.59	Facility		$118.99	$123.93	$137.59
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $16.98 / $37.85	Professional		$9.93	$16.98	$37.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $10.25 / $23.76	Professional	26	$7.00	$10.25	$23.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.66 / $12.84	Professional	TC	$3.02	$4.66	$12.84