Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $28.74 / $157.07	Professional		$26.49	$28.74	$157.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.93 / $23.48 / $50.41	Professional	26	$17.93	$23.48	$50.41
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.25 / $13.79 / $24.55	Professional	52	$13.25	$13.79	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.77 / $4.50 / $51.14	Professional	TC	$3.77	$4.50	$51.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $35.60 / $58.70	Professional		$33.29	$35.60	$58.70
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $28.14 / $32.70	Professional	26	$17.95	$28.14	$32.70
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $4.46 / $5.15 / $40.75	Professional	TC	$4.46	$5.15	$40.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $35.38 / $70.95	Professional		$23.49	$35.38	$70.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $25.52 / $48.07	Professional	26	$18.68	$25.52	$48.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.17 / $5.49 / $40.75	Professional	TC	$3.17	$5.49	$40.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $32.60 / $57.44	Professional		$26.76	$32.60	$57.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $27.75 / $40.70	Professional	26	$23.03	$27.75	$40.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $3.93 / $4.84 / $10.74	Professional	TC	$3.93	$4.84	$10.74
United Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $40.79 / $66.31	Professional		$23.86	$40.79	$66.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $20.14 / $47.95	Professional	26	$13.11	$20.14	$47.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.45 / $6.82 / $40.99	Professional	TC	$3.45	$6.82	$40.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $31.05 / $42.26	Professional		$26.97	$31.05	$42.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $26.43 / $36.36	Professional	26	$23.04	$26.43	$36.36
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.93 / $4.62 / $5.90	Professional	TC	$3.93	$4.62	$5.90