Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $56.48 / $100.47	Professional		$38.26	$56.48	$100.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $21.44 / $62.74	Professional	26	$18.04	$21.44	$62.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $34.19 / $59.60	Professional	TC	$17.01	$34.19	$59.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $59.45 / $96.31	Professional		$53.51	$59.45	$96.31
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $21.11 / $36.52	Professional	26	$21.11	$21.11	$36.52
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $33.39 / $38.34 / $54.06	Professional	TC	$33.39	$38.34	$54.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $62.38 / $164.21	Professional		$42.58	$62.38	$164.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $27.61 / $60.60	Professional	26	$19.48	$27.61	$60.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $35.04 / $102.36	Professional	TC	$19.57	$35.04	$102.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $65.22 / $93.17	Professional		$51.75	$65.22	$93.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $23.22 / $33.97	Professional	26	$18.05	$23.22	$33.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.08 / $41.78 / $61.29	Professional	TC	$33.08	$41.78	$61.29
United Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $52.17 / $94.43	Professional		$37.06	$52.17	$94.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $23.40 / $35.69	Professional	26	$17.32	$23.40	$35.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.26 / $27.86 / $56.07	Professional	TC	$17.26	$27.86	$56.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $45.83 / $81.70	Professional		$32.99	$45.83	$81.70
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $16.57 / $29.47	Professional	26	$11.64	$16.57	$29.47
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $29.27 / $52.23	Professional	TC	$21.35	$29.27	$52.23