Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $44.00 / $139.50	Professional		$32.56	$44.00	$139.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.72 / $29.01 / $80.83	Professional	26	$18.72	$29.01	$80.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $18.39 / $59.35	Professional	TC	$13.84	$18.39	$59.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $50.96 / $66.95	Professional		$47.26	$50.96	$66.95
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $29.37 / $31.44 / $41.32	Professional	26	$29.37	$31.44	$41.32
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $19.52 / $25.65	Professional	TC	$18.55	$19.52	$25.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $29.91 / $88.25	Professional		$21.89	$29.91	$88.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.39 / $18.92 / $48.95	Professional	26	$0.39	$18.92	$48.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.25 / $11.45 / $31.97	Professional	TC	$0.25	$11.45	$31.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $69.34 / $92.46	Professional		$57.78	$69.34	$92.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.70 / $42.19 / $75.00	Professional	26	$34.70	$42.19	$75.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $27.98 / $44.04	Professional	TC	$23.09	$27.98	$44.04
United Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $45.62 / $85.53	Professional		$34.84	$45.62	$85.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $28.02 / $56.30	Professional	26	$19.32	$28.02	$56.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.14 / $16.54 / $33.26	Professional	TC	$12.14	$16.54	$33.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $71.45 / $83.13	Professional		$48.95	$71.45	$83.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $31.64 / $42.19 / $50.63	Professional	26	$31.64	$42.19	$50.63
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $29.26 / $33.07	Professional	TC	$17.30	$29.26	$33.07