Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $50.41 / $90.52	Professional		$29.16	$50.41	$90.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $20.91 / $52.94	Professional	26	$18.69	$20.91	$52.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $31.01 / $47.21	Professional	TC	$9.60	$31.01	$47.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $58.53 / $82.53	Professional		$52.68	$58.53	$82.53
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $23.27 / $36.53	Professional	26	$21.11	$23.27	$36.53
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $35.26 / $49.72	Professional	TC	$23.66	$35.26	$49.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $54.02 / $156.85	Professional		$34.63	$54.02	$156.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $27.25 / $61.71	Professional	26	$19.82	$27.25	$61.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.54 / $30.72 / $92.98	Professional	TC	$11.54	$30.72	$92.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $61.16 / $87.38	Professional		$48.43	$61.16	$87.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $23.70 / $34.61	Professional	26	$18.39	$23.70	$34.61
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.30 / $37.45 / $54.93	Professional	TC	$29.30	$37.45	$54.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $45.15 / $77.70	Professional		$26.93	$45.15	$77.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $21.99 / $35.76	Professional	26	$17.09	$21.99	$35.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.68 / $25.40 / $50.17	Professional	TC	$9.68	$25.40	$50.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $43.07 / $76.76	Professional		$24.66	$43.07	$76.76
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $16.84 / $29.94	Professional	26	$9.44	$16.84	$29.94
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.22 / $26.23 / $46.82	Professional	TC	$15.22	$26.23	$46.82