Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $43.30 / $66.31	Professional		$25.37	$43.30	$66.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $14.80 / $29.86	Professional	26	$13.09	$14.80	$29.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $29.51 / $39.67	Professional	TC	$11.63	$29.51	$39.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $48.33 / $68.15	Professional		$43.49	$48.33	$68.15
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $14.77 / $23.19	Professional	26	$14.77	$14.77	$23.19
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.13 / $33.54 / $47.31	Professional	TC	$29.13	$33.54	$47.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $46.20 / $133.50	Professional		$29.77	$46.20	$133.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $19.23 / $43.86	Professional	26	$13.96	$19.23	$43.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.75 / $29.69 / $89.23	Professional	TC	$13.75	$29.69	$89.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $52.46 / $78.73	Professional		$41.46	$52.46	$78.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $16.69 / $25.05	Professional	26	$12.97	$16.69	$25.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $35.47 / $52.04	Professional	TC	$28.08	$35.47	$52.04
United Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $38.89 / $67.12	Professional		$23.45	$38.89	$67.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $16.50 / $26.33	Professional	26	$12.15	$16.50	$26.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.10 / $24.29 / $42.24	Professional	TC	$11.10	$24.29	$42.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $36.72 / $65.45	Professional		$21.45	$36.72	$65.45
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $11.87 / $21.12	Professional	26	$6.77	$11.87	$21.12
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $24.84 / $44.34	Professional	TC	$14.68	$24.84	$44.34