Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $9.64 / $27.26	Professional	26	$9.25	$9.64	$27.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $26.66 / $73.97	Professional	TC	$22.75	$26.66	$73.97
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $11.55 / $13.21	Professional	26	$10.40	$11.55	$13.21
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $28.20 / $32.22	Professional	TC	$26.89	$28.20	$32.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $12.38 / $23.60	Professional	26	$8.36	$12.38	$23.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $31.20 / $60.34	Professional	TC	$21.64	$31.20	$60.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $12.47 / $17.86	Professional	26	$10.84	$12.47	$17.86
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.64 / $33.31 / $49.98	Professional	TC	$27.64	$33.31	$49.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $11.55 / $19.53	Professional	26	$7.97	$11.55	$19.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $27.43 / $48.83	Professional	TC	$20.45	$27.43	$48.83
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $11.53 / $15.72	Professional	26	$7.87	$11.53	$15.72
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $30.84 / $39.42	Professional	TC	$20.30	$30.84	$39.42