Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $79.83 / $182.22	Professional		$63.72	$79.83	$182.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $46.47 / $117.45	Professional	26	$37.65	$46.47	$117.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $37.76 / $71.43	Professional	TC	$21.73	$37.76	$71.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $93.83 / $147.31	Professional		$84.45	$93.83	$147.31
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $52.07 / $52.07 / $81.75	Professional	26	$52.07	$52.07	$81.75
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $37.58 / $41.76 / $64.55	Professional	TC	$37.58	$41.76	$64.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $94.62 / $238.42	Professional		$68.38	$94.62	$238.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $55.12 / $122.47	Professional	26	$39.07	$55.12	$122.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.62 / $38.17 / $111.74	Professional	TC	$24.62	$38.17	$111.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $92.47 / $135.65	Professional		$73.20	$92.47	$135.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $46.94 / $69.97	Professional	26	$36.47	$46.94	$69.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.58 / $44.94 / $65.93	Professional	TC	$35.58	$44.94	$65.93
United Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $77.98 / $133.07	Professional		$56.89	$77.98	$133.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $46.32 / $80.93	Professional	26	$35.22	$46.32	$80.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $31.11 / $59.75	Professional	TC	$21.87	$31.11	$59.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $64.87 / $115.59	Professional		$54.27	$64.87	$115.59
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $27.47 / $33.40 / $59.42	Professional	26	$27.47	$33.40	$59.42
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.80 / $31.48 / $56.18	Professional	TC	$26.80	$31.48	$56.18