Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.52 / $58.26 / $84.61	Facility	26	$42.52	$58.26	$84.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $345.21 / $845.04	Professional		$315.77	$345.21	$845.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $45.85 / $134.96	Professional	26	$42.52	$45.85	$134.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $301.16 / $732.31	Professional	TC	$272.87	$301.16	$732.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $343.37 / $376.89 / $410.81	Professional		$343.37	$376.89	$410.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $53.89 / $53.89 / $59.38	Professional	26	$53.89	$53.89	$59.38
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $283.99 / $323.00 / $352.07	Professional	TC	$283.99	$323.00	$352.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.37 / $457.83 / $953.01	Professional		$272.37	$457.83	$953.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.54 / $56.09 / $131.44	Professional	26	$38.54	$56.09	$131.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.81 / $401.74 / $821.56	Professional	TC	$233.81	$401.74	$821.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.52 / $417.04 / $733.18	Professional		$334.52	$417.04	$733.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $60.11 / $101.43	Professional	26	$48.44	$60.11	$101.43
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $287.16 / $360.58 / $631.76	Professional	TC	$287.16	$360.58	$631.76
United Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $386.75 / $688.24	Professional		$252.15	$386.75	$688.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $47.19 / $91.70	Professional	26	$39.72	$47.19	$91.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.61 / $339.56 / $617.80	Professional	TC	$212.61	$339.56	$617.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.70 / $282.99 / $499.49	Professional		$281.70	$282.99	$499.49
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $39.89 / $40.07 / $67.95	Professional	26	$39.89	$40.07	$67.95
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $241.82 / $242.92 / $426.83	Professional	TC	$241.82	$242.92	$426.83