Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $25.01 / $127.57	Professional		$23.15	$25.01	$127.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.97 / $20.55 / $53.79	Professional	26	$18.97	$20.55	$53.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $4.50 / $44.19	Professional	TC	$4.07	$4.50	$44.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $30.78 / $57.96	Professional		$29.09	$30.78	$57.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $24.82 / $27.25	Professional	26	$22.23	$24.82	$27.25
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $4.83 / $5.15 / $35.72	Professional	TC	$4.83	$5.15	$35.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $31.74 / $65.20	Professional		$20.54	$31.74	$65.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $22.94 / $40.88	Professional	26	$17.61	$22.94	$40.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.35 / $5.75 / $35.03	Professional	TC	$3.35	$5.75	$35.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $28.52 / $55.52	Professional		$23.34	$28.52	$55.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $23.26 / $41.50	Professional	26	$19.29	$23.26	$41.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.25 / $5.25 / $10.74	Professional	TC	$4.25	$5.25	$10.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $37.61 / $57.04	Professional		$20.50	$37.61	$57.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $18.36 / $32.83	Professional	26	$15.23	$18.36	$32.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.62 / $6.81 / $33.50	Professional	TC	$3.62	$6.81	$33.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $27.16 / $36.86	Professional		$23.93	$27.16	$36.86
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $19.61 / $22.15 / $30.46	Professional	26	$19.61	$22.15	$30.46
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $4.32 / $5.00 / $6.39	Professional	TC	$4.32	$5.00	$6.39