Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.06 / $85.68 / $85.68	Facility	26	$43.06	$85.68	$85.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $95.59 / $433.27	Professional		$82.21	$95.59	$433.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $45.34 / $119.87	Professional	26	$40.96	$45.34	$119.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $54.03 / $104.92	Professional	TC	$39.15	$54.03	$104.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $225.27	Professional		$101.49	$101.49	$225.27
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $50.55 / $64.20	Professional	26	$50.55	$50.55	$64.20
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $50.95 / $50.95 / $174.55	Professional	TC	$50.95	$50.95	$174.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $141.40 / $257.52	Professional		$76.05	$141.40	$257.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $59.73 / $132.86	Professional	26	$39.58	$59.73	$132.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.47 / $69.87 / $147.80	Professional	TC	$36.47	$69.87	$147.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $126.83 / $214.97	Professional		$98.32	$126.83	$214.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.18 / $66.01 / $98.25	Professional	26	$49.18	$66.01	$98.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $47.15 / $61.30 / $107.02	Professional	TC	$47.15	$61.30	$107.02
United Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $124.80 / $198.56	Professional		$83.20	$124.80	$198.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.35 / $52.17 / $89.70	Professional	26	$35.35	$52.17	$89.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.95 / $63.59 / $136.34	Professional	TC	$38.95	$63.59	$136.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $112.56 / $137.91	Professional		$91.45	$112.56	$137.91
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $47.59 / $58.85 / $70.25	Professional	26	$47.59	$58.85	$70.25
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $43.86 / $53.22 / $67.65	Professional	TC	$43.86	$53.22	$67.65