Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $145.34 / $303.48	Facility		$79.44	$145.34	$303.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.93 / $12.24 / $36.00	Facility	26	$8.93	$12.24	$36.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.70 / $138.90 / $318.98	Facility	TC	$28.70	$138.90	$318.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $37.31 / $129.19	Professional		$27.66	$37.31	$129.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $13.99 / $43.35	Professional	26	$9.26	$13.99	$43.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $23.04 / $95.00	Professional	TC	$17.92	$23.04	$95.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $35.22 / $40.27	Professional		$34.22	$35.22	$40.27
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $12.20 / $13.94	Professional	26	$10.98	$12.20	$13.94
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $23.03 / $26.33	Professional	TC	$22.08	$23.03	$26.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $23.54 / $23.54	Facility		$23.54	$23.54	$23.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $39.04 / $74.48	Professional		$26.51	$39.04	$74.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $12.39 / $24.23	Professional	26	$8.08	$12.39	$24.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $25.88 / $52.17	Professional	TC	$17.98	$25.88	$52.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $41.77 / $58.50	Professional		$34.79	$41.77	$58.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $12.08 / $17.14	Professional	26	$10.32	$12.08	$17.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.28 / $29.38 / $41.36	Professional	TC	$24.28	$29.38	$41.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $33.20 / $60.37	Professional		$25.23	$33.20	$60.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $11.78 / $19.30	Professional	26	$8.38	$11.78	$19.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.01 / $48.93	Professional	TC	$16.60	$22.01	$48.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $37.97 / $49.71	Professional		$26.61	$37.97	$49.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $11.17 / $15.23	Professional	26	$7.97	$11.17	$15.23
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $26.98 / $34.49	Professional	TC	$18.64	$26.98	$34.49