Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $112.20	Professional		$38.02	$61.66	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $63.10	Professional	26	$18.20	$23.44	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $34.67 / $63.10	Professional	TC	$15.85	$34.67	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $56.23 / $83.18	Professional		$21.38	$56.23	$83.18
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.39 / $33.11	Professional	26	$19.05	$22.39	$33.11
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $42.66 / $57.54	Professional	TC	$37.15	$42.66	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $128.82	Professional		$42.66	$60.26	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $47.86	Professional	26	$19.05	$26.92	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $34.67 / $83.18	Professional	TC	$19.50	$34.67	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $89.13	Professional		$51.29	$63.10	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $33.88	Professional	26	$18.20	$21.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $41.69 / $57.54	Professional	TC	$33.11	$41.69	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $93.33	Professional		$38.02	$53.70	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $38.02	Professional	26	$18.20	$23.99	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.18 / $54.95	Professional	TC	$17.78	$28.18	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $91.20	Professional		$33.11	$63.10	$91.20
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $21.88 / $30.20	Professional	26	$11.75	$21.88	$30.20
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $41.69 / $60.26	Professional	TC	$21.38	$41.69	$60.26