Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $55.01 / $208.11	Professional		$36.33	$55.01	$208.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $28.68 / $61.31	Professional	26	$19.96	$28.68	$61.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $24.28 / $97.42	Professional	TC	$16.13	$24.28	$97.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.32 / $76.70	Professional		$39.13	$39.32	$76.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.36 / $21.51 / $27.53	Professional	26	$19.36	$21.51	$27.53
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $17.80 / $57.18	Professional	TC	$17.62	$17.80	$57.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $62.51 / $157.91	Professional		$33.69	$62.51	$157.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $32.03 / $55.61	Professional	26	$18.30	$32.03	$55.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $27.88 / $104.16	Professional	TC	$15.12	$27.88	$104.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $51.41 / $127.12	Professional		$39.85	$51.41	$127.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $27.46 / $43.77	Professional	26	$21.29	$27.46	$43.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.94 / $85.74	Professional	TC	$18.55	$23.94	$85.74
United Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $61.41 / $133.47	Professional		$34.52	$61.41	$133.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $27.01 / $43.88	Professional	26	$19.89	$27.01	$43.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.47 / $28.66 / $98.94	Professional	TC	$15.47	$28.66	$98.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $42.96 / $57.06	Professional		$31.88	$42.96	$57.06
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $17.03 / $22.70 / $30.96	Professional	26	$17.03	$22.70	$30.96
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.85 / $20.43 / $26.10	Professional	TC	$14.85	$20.43	$26.10