Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $95.50	Professional		$34.67	$50.12	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $26.92	Professional	26	$15.14	$19.95	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $47.86	Professional	TC	$19.05	$25.12	$47.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $50.12	Professional		$24.55	$42.66	$50.12
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $19.50 / $20.42	Professional	26	$10.00	$19.50	$20.42
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $27.54 / $36.31	Professional	TC	$27.54	$27.54	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $93.33	Professional		$36.31	$58.88	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $23.44 / $36.31	Professional	26	$15.49	$23.44	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $35.48 / $51.29	Professional	TC	$20.42	$35.48	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $85.11	Professional		$42.66	$53.70	$85.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.39 / $35.48	Professional	26	$17.78	$22.39	$35.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.62 / $50.12	Professional	TC	$24.55	$31.62	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $91.20	Professional		$38.90	$53.70	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $36.31	Professional	26	$15.85	$19.95	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $52.48	Professional	TC	$20.89	$32.36	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $79.43	Professional		$45.71	$50.12	$79.43
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $22.39 / $32.36	Professional	26	$20.42	$22.39	$32.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $31.62 / $45.71	Professional	TC	$27.54	$31.62	$45.71