Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $181.97	Professional		$33.11	$50.12	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $107.15	Professional	26	$18.20	$25.12	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.05 / $102.33	Professional	TC	$14.13	$19.05	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $44.67	Professional		$16.60	$21.38	$44.67
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $23.44	Professional	26	$18.20	$18.20	$23.44
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.42 / $51.29	Professional	TC	$17.78	$20.42	$51.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	26	$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $165.96	Professional		$33.88	$60.26	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.90 / $57.54	Professional	26	$19.05	$30.90	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $26.92 / $117.49	Professional	TC	$15.14	$26.92	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $89.13	Professional		$41.69	$46.77	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $24.55 / $39.81	Professional	26	$21.88	$24.55	$39.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $22.91 / $43.65	Professional	TC	$19.50	$22.91	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $147.91	Professional		$35.48	$58.88	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $46.77	Professional	26	$20.42	$28.84	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $26.30 / $109.65	Professional	TC	$15.49	$26.30	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $61.66	Professional		$39.81	$47.86	$61.66
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $25.12 / $32.36	Professional	26	$21.38	$25.12	$32.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $29.51	Professional	TC	$18.62	$22.91	$29.51