Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.47 / $22.90	Professional	26	$9.16	$10.47	$22.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $15.07 / $26.98	Professional	TC	$13.83	$15.07	$26.98
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $26.25	Professional	26	$18.62	$18.62	$26.25
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $30.00 / $42.30	Professional	TC	$30.00	$30.00	$42.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.53 / $32.99 / $73.83	Professional	26	$23.53	$32.99	$73.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.06 / $51.97 / $118.77	Professional	TC	$35.06	$51.97	$118.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $25.86 / $35.92	Professional	26	$21.98	$25.86	$35.92
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.39 / $41.25 / $56.09	Professional	TC	$33.39	$41.25	$56.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.10 / $32.61 / $68.50	Professional	26	$18.10	$32.61	$68.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $98.17 / $110.30	Professional	TC	$34.61	$98.17	$110.30
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $20.14 / $35.85	Professional	26	$8.14	$20.14	$35.85
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.36 / $28.00 / $52.72	Professional	TC	$12.36	$28.00	$52.72