Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $9.01 / $10.21	Facility	26	$7.50	$9.01	$10.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $31.49 / $157.00	Professional		$26.28	$31.49	$157.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.42 / $23.07	Professional	26	$7.40	$8.42	$23.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $67.67	Professional	50	$59.24	$59.24	$67.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $23.32 / $54.43	Professional	TC	$18.63	$23.32	$54.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $33.21 / $37.96	Professional		$27.59	$33.21	$37.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $8.90 / $10.17	Professional	26	$8.01	$8.90	$10.17
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $24.31 / $27.79	Professional	TC	$18.30	$24.31	$27.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $33.39 / $66.23	Professional		$25.30	$33.39	$66.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $9.96 / $19.30	Professional	26	$6.67	$9.96	$19.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $24.51 / $54.40	Professional	TC	$18.19	$24.51	$54.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $40.36 / $56.40	Professional		$31.76	$40.36	$56.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $10.11 / $14.70	Professional	26	$8.77	$10.11	$14.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $23.92 / $29.55 / $41.97	Professional	TC	$23.92	$29.55	$41.97
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $33.14 / $72.84	Professional		$22.81	$33.14	$72.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $8.66 / $14.82	Professional	26	$6.55	$8.66	$14.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.21 / $23.23 / $42.59	Professional	TC	$16.21	$23.23	$42.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $37.36 / $48.72	Professional		$21.98	$37.36	$48.72
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.63 / $9.36 / $12.77	Professional	26	$5.63	$9.36	$12.77
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $28.14 / $35.97	Professional	TC	$16.35	$28.14	$35.97