Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $48.98	Professional		$20.89	$25.12	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $25.70	Professional	26	$16.98	$19.95	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $23.99	Professional	TC	$3.02	$3.98	$23.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $36.31	Professional		$23.44	$26.92	$36.31
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $21.88 / $26.30	Professional	26	$20.89	$21.88	$26.30
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $4.68 / $5.25 / $7.08	Professional	TC	$4.68	$5.25	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $64.57	Professional		$20.42	$32.36	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $36.31	Professional	26	$17.78	$22.91	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $6.03 / $38.02	Professional	TC	$3.39	$6.03	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $43.65	Professional		$21.88	$27.54	$43.65
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 $3.98 / $5.13 / $8.32	Professional	TC	$3.98	$5.13	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $60.26	Professional		$20.42	$36.31	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $34.67	Professional	26	$15.14	$19.05	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $6.76 / $36.31	Professional	TC	$3.47	$6.76	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $39.81	Professional		$23.99	$27.54	$39.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $22.39 / $32.36	Professional	26	$19.50	$22.39	$32.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $5.13 / $7.41	Professional	TC	$4.37	$5.13	$7.41