Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $54.69 / $60.61	Professional		$38.27	$54.69	$60.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.65 / $18.98 / $20.45	Professional	26	$13.65	$18.98	$20.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.62 / $35.52 / $40.42	Professional	TC	$24.62	$35.52	$40.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $72.16 / $91.64	Professional		$64.95	$72.16	$91.64
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $28.02 / $35.59	Professional	26	$25.22	$28.02	$35.59
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $44.14 / $56.06	Professional	TC	$39.72	$44.14	$56.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $39.49 / $98.80	Professional		$25.92	$39.49	$98.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.54 / $36.15	Professional	26	$8.78	$12.54	$36.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.13 / $25.81 / $62.63	Professional	TC	$17.13	$25.81	$62.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $81.22 / $106.46	Professional		$67.68	$81.22	$106.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $29.24 / $37.13	Professional	26	$24.37	$29.24	$37.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $43.31 / $51.97 / $69.62	Professional	TC	$43.31	$51.97	$69.62
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $57.39 / $136.38	Professional		$39.86	$57.39	$136.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $20.63 / $42.89	Professional	26	$13.52	$20.63	$42.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.97 / $37.82 / $88.11	Professional	TC	$27.97	$37.82	$88.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $84.43 / $96.98	Professional		$65.05	$84.43	$96.98
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $29.45 / $35.88	Professional	26	$23.33	$29.45	$35.88
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $41.73 / $54.97 / $62.14	Professional	TC	$41.73	$54.97	$62.14