Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $38.77 / $151.00	Professional		$28.57	$38.77	$151.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.91 / $33.76	Professional	26	$9.77	$13.91	$33.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $22.33 / $51.10	Professional	TC	$19.07	$22.33	$51.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $33.10 / $37.40	Professional		$30.78	$33.10	$37.40
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $12.56 / $14.51	Professional	26	$11.35	$12.56	$14.51
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $16.27 / $20.54 / $24.20	Professional	TC	$16.27	$20.54	$24.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $43.06 / $70.31	Professional		$29.33	$43.06	$70.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.10 / $25.92	Professional	26	$10.23	$16.10	$25.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $28.56 / $46.17	Professional	TC	$19.54	$28.56	$46.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $37.57 / $56.13	Professional		$31.34	$37.57	$56.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $12.13 / $17.86	Professional	26	$10.37	$12.13	$17.86
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $25.20 / $38.27	Professional	TC	$20.82	$25.20	$38.27
United Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $42.40 / $77.84	Professional		$29.94	$42.40	$77.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $15.17 / $26.95	Professional	26	$11.18	$15.17	$26.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $25.51 / $48.94	Professional	TC	$19.07	$25.51	$48.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $34.15 / $44.78	Professional		$25.19	$34.15	$44.78
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.17 / $15.23	Professional	26	$8.39	$11.17	$15.23
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $23.13 / $29.55	Professional	TC	$16.80	$23.13	$29.55