Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $177.77 / $341.67	Facility		$86.31	$177.77	$341.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.95 / $9.02 / $13.83	Facility	26	$6.95	$9.02	$13.83
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.20 / $140.16 / $328.77	Facility	TC	$26.20	$140.16	$328.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $31.25 / $121.70	Professional		$11.54	$31.25	$121.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $9.02 / $36.42	Professional	26	$6.95	$9.02	$36.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.65 / $63.03	Professional	TC	$18.82	$23.65	$63.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $33.96 / $38.82	Professional		$32.01	$33.96	$38.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.31 / $10.64	Professional	26	$8.38	$9.31	$10.64
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $24.66 / $28.18	Professional	TC	$22.70	$24.66	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $37.82 / $37.82	Facility		$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $37.04 / $68.38	Professional		$25.49	$37.04	$68.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.50 / $17.93	Professional	26	$6.03	$9.50	$17.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $27.63 / $54.40	Professional	TC	$19.13	$27.63	$54.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $39.20 / $56.57	Professional		$31.71	$39.20	$56.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $9.35 / $14.70	Professional	26	$7.75	$9.35	$14.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $30.39 / $43.20	Professional	TC	$23.92	$30.39	$43.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $30.73 / $57.99	Professional		$23.63	$30.73	$57.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $8.49 / $14.86	Professional	26	$6.53	$8.49	$14.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $23.10 / $49.94	Professional	TC	$17.32	$23.10	$49.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $36.29 / $47.25	Professional		$23.50	$36.29	$47.25
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.49 / $8.27 / $11.28	Professional	26	$5.49	$8.27	$11.28
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $28.14 / $35.97	Professional	TC	$18.01	$28.14	$35.97