Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $371.54	Facility		$66.07	$162.18	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $11.22 / $18.20	Facility	26	$9.33	$11.22	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $128.82	Professional		$19.95	$38.90	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $19.05 / $38.90	Professional	26	$9.55	$19.05	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $70.79	Professional	TC	$20.89	$32.36	$70.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $33.88 / $41.69	Professional		$10.23	$33.88	$41.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.48 / $12.88	Professional	26	$10.23	$11.48	$12.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $26.92 / $34.67	Professional	TC	$22.39	$26.92	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $57.54	Facility		$40.74	$40.74	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $74.13	Professional		$28.18	$38.02	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.02 / $23.44	Professional	26	$8.13	$12.02	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $58.88	Professional	TC	$19.05	$26.30	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $57.54	Professional		$36.31	$42.66	$57.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.75 / $16.22	Professional	26	$10.72	$11.75	$16.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $30.20 / $42.66	Professional	TC	$25.70	$30.20	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.05 / $32.36	Facility		$7.94	$19.05	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $66.07	Professional		$26.30	$36.31	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.48 / $19.95	Professional	26	$8.32	$11.48	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $45.71	Professional	TC	$18.20	$24.55	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $60.26	Professional		$26.30	$44.67	$60.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.30 / $16.22	Professional	26	$7.41	$12.30	$16.22
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $31.62 / $43.65	Professional	TC	$18.62	$31.62	$43.65