Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $283.64 / $820.82	Facility		$51.33	$283.64	$820.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.14 / $71.63 / $176.47	Facility	26	$25.14	$71.63	$176.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $138.31 / $276.62 / $304.29	Facility	TC	$138.31	$276.62	$304.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $92.15 / $145.28	Professional		$84.71	$92.15	$145.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.29 / $26.19 / $58.57	Professional	26	$24.29	$26.19	$58.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.57 / $65.00 / $102.30	Professional	TC	$59.57	$65.00	$102.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $118.37 / $245.48	Professional		$116.01	$118.37	$245.48
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $30.78 / $30.78 / $61.19	Professional	26	$30.78	$30.78	$61.19
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $78.83 / $87.58 / $118.75	Professional	TC	$78.83	$87.58	$118.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.41 / $468.71 / $896.90	Facility		$275.41	$468.71	$896.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $122.84 / $276.98	Professional		$78.11	$122.84	$276.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $33.94 / $85.29	Professional	26	$23.52	$33.94	$85.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.71 / $82.89 / $202.31	Professional	TC	$53.71	$82.89	$202.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $205.06 / $205.06	Professional		$97.64	$205.06	$205.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $60.70 / $60.70	Professional	26	$29.40	$60.70	$60.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $68.23 / $144.36 / $144.36	Professional	TC	$68.23	$144.36	$144.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $92.75 / $282.27	Professional		$83.48	$92.75	$282.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.14 / $29.95 / $87.95	Professional	26	$23.14	$29.95	$87.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.34 / $92.04 / $199.30	Professional	TC	$58.34	$92.04	$199.30