Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $170.94 / $280.32	Facility		$58.34	$170.94	$280.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $10.11 / $16.64	Facility	26	$8.36	$10.11	$16.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.13 / $107.11 / $326.19	Facility	TC	$25.13	$107.11	$326.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $36.89 / $136.88	Professional		$29.32	$36.89	$136.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $12.36 / $46.81	Professional	26	$8.47	$12.36	$46.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $23.81 / $58.57	Professional	TC	$19.93	$23.81	$58.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $36.69 / $41.91	Professional		$33.02	$36.69	$41.91
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.91 / $13.61	Professional	26	$10.72	$11.91	$13.61
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $24.78 / $28.32	Professional	TC	$22.30	$24.78	$28.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Facility		$44.36	$44.36	$44.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $40.01 / $76.23	Professional		$26.47	$40.01	$76.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.09 / $23.52	Professional	26	$7.58	$12.09	$23.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $28.97 / $54.23	Professional	TC	$18.89	$28.97	$54.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $40.44 / $59.27	Professional		$34.29	$40.44	$59.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $11.77 / $18.80	Professional	26	$9.78	$11.77	$18.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $29.14 / $40.72	Professional	TC	$24.48	$29.14	$40.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $33.45 / $58.30	Professional		$26.61	$33.45	$58.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $10.03 / $17.73	Professional	26	$8.09	$10.03	$17.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $22.54 / $39.39	Professional	TC	$17.69	$22.54	$39.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $37.28 / $48.72	Professional		$27.02	$37.28	$48.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $10.44 / $14.24	Professional	26	$7.73	$10.44	$14.24
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $26.98 / $34.49	Professional	TC	$19.28	$26.98	$34.49