Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $48.60 / $145.52	Professional		$35.04	$48.60	$145.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.97 / $30.70 / $93.34	Professional	26	$22.97	$30.70	$93.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.08 / $17.89 / $51.16	Professional	TC	$12.08	$17.89	$51.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $59.58 / $73.59	Professional		$55.39	$59.58	$73.59
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $41.62 / $51.41	Professional	26	$37.90	$41.62	$51.41
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $17.96 / $22.19	Professional	TC	$17.48	$17.96	$22.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $32.03 / $98.36	Professional		$21.89	$32.03	$98.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $20.58 / $60.82	Professional	26	$14.77	$20.58	$60.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.12 / $11.45 / $35.93	Professional	TC	$7.12	$11.45	$35.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $67.31 / $88.73	Professional		$56.94	$67.31	$88.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $44.05 / $56.30	Professional	26	$36.71	$44.05	$56.30
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $24.26 / $33.92	Professional	TC	$20.22	$24.26	$33.92
United Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $46.19 / $86.61	Professional		$35.68	$46.19	$86.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.31 / $31.76 / $68.42	Professional	26	$23.31	$31.76	$68.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.94 / $16.05 / $27.39	Professional	TC	$12.94	$16.05	$27.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $70.37 / $82.16	Professional		$48.18	$70.37	$82.16
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.43 / $44.65 / $53.57	Professional	26	$33.43	$44.65	$53.57
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.75 / $25.71 / $29.07	Professional	TC	$14.75	$25.71	$29.07