Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $10.28 / $14.94	Facility	26	$7.50	$10.28	$14.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $37.42 / $90.55	Professional		$29.87	$37.42	$90.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.56 / $24.09	Professional	26	$7.51	$8.56	$24.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.35 / $62.07	Professional	TC	$21.94	$27.35	$62.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $40.14 / $45.87	Professional		$32.18	$40.14	$45.87
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $9.67 / $11.05	Professional	26	$8.69	$9.67	$11.05
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.51 / $30.47 / $34.82	Professional	TC	$22.51	$30.47	$34.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $38.83 / $77.84	Professional		$29.13	$38.83	$77.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $10.23 / $20.04	Professional	26	$6.80	$10.23	$20.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $29.52 / $67.77	Professional	TC	$22.21	$29.52	$67.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $47.43 / $67.50	Professional		$37.33	$47.43	$67.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $10.53 / $15.29	Professional	26	$8.77	$10.53	$15.29
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.79 / $36.42 / $53.07	Professional	TC	$28.79	$36.42	$53.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $39.72 / $104.53	Professional		$25.52	$39.72	$104.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $8.81 / $15.39	Professional	26	$6.87	$8.81	$15.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $27.87 / $82.75	Professional	TC	$17.73	$27.87	$82.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $43.92 / $57.11	Professional		$26.24	$43.92	$57.11
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.74 / $9.36 / $12.77	Professional	26	$5.74	$9.36	$12.77
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $34.69 / $44.34	Professional	TC	$20.50	$34.69	$44.34