Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $60.28 / $116.84	Professional		$45.20	$60.28	$116.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.48 / $22.03	Professional	26	$7.51	$9.48	$22.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.69 / $50.80 / $93.77	Professional	TC	$37.69	$50.80	$93.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $53.58 / $53.58	Professional		$39.71	$53.58	$53.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $8.06 / $8.91	Professional	26	$8.06	$8.06	$8.91
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.80 / $45.53 / $45.53	Professional	TC	$30.80	$45.53	$45.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $50.12 / $98.70	Professional		$39.32	$50.12	$98.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.85 / $15.67	Professional	26	$6.70	$8.85	$15.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $43.12 / $83.03	Professional	TC	$32.18	$43.12	$83.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $65.17 / $93.14	Professional		$48.17	$65.17	$93.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $10.19 / $16.48	Professional	26	$8.38	$10.19	$16.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $40.67 / $55.03 / $79.23	Professional	TC	$40.67	$55.03	$79.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $44.48 / $73.26	Professional		$32.07	$44.48	$73.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $7.82 / $14.62	Professional	26	$6.25	$7.82	$14.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.78 / $36.64 / $57.47	Professional	TC	$25.78	$36.64	$57.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $44.78 / $62.09	Professional		$44.78	$44.78	$62.09
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $6.97 / $9.36	Professional	26	$6.97	$6.97	$9.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $37.81 / $37.81 / $52.82	Professional	TC	$37.81	$37.81	$52.82