Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $23.89 / $43.90	Professional		$18.19	$23.89	$43.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $17.76 / $31.48	Professional	26	$13.95	$17.76	$31.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.24 / $6.54 / $12.42	Professional	TC	$4.24	$6.54	$12.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $26.64 / $33.83	Professional		$25.85	$26.64	$33.83
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $19.46 / $24.71	Professional	26	$18.48	$19.46	$24.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $6.79 / $7.18 / $9.11	Professional	TC	$6.79	$7.18	$9.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $15.90 / $47.32	Professional		$11.83	$15.90	$47.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $12.03 / $34.39	Professional	26	$8.96	$12.03	$34.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.87 / $4.46 / $12.93	Professional	TC	$2.87	$4.46	$12.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $35.72 / $47.08	Professional		$30.32	$35.72	$47.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $25.50 / $32.83	Professional	26	$21.25	$25.50	$32.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $9.07 / $10.88 / $14.53	Professional	TC	$9.07	$10.88	$14.53
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.26 / $45.48	Professional		$19.05	$24.26	$45.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $18.48 / $34.65	Professional	26	$13.86	$18.48	$34.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.55 / $5.96 / $11.04	Professional	TC	$4.55	$5.96	$11.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $37.34 / $43.77	Professional		$25.54	$37.34	$43.77
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $19.27 / $25.82 / $30.96	Professional	26	$19.27	$25.82	$30.96
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $6.27 / $11.52 / $13.03	Professional	TC	$6.27	$11.52	$13.03