Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.07 / $14.31 / $20.03	Facility	26	$10.07	$14.31	$20.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $42.48 / $211.00	Professional		$36.17	$42.48	$211.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $11.77 / $32.47	Professional	26	$10.07	$11.77	$32.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $31.27 / $77.23	Professional	TC	$25.39	$31.27	$77.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $45.84 / $52.40	Professional		$40.20	$45.84	$52.40
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $12.98 / $14.83	Professional	26	$11.68	$12.98	$14.83
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.04 / $32.86 / $37.57	Professional	TC	$27.04	$32.86	$37.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $45.56 / $98.12	Professional		$34.36	$45.56	$98.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $13.98 / $27.38	Professional	26	$9.31	$13.98	$27.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $32.95 / $71.48	Professional	TC	$24.33	$32.95	$71.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $53.35 / $76.12	Professional		$42.58	$53.35	$76.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $14.00 / $21.17	Professional	26	$12.14	$14.00	$21.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.13 / $38.67 / $56.77	Professional	TC	$31.13	$38.67	$56.77
United Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $41.43 / $75.33	Professional		$31.39	$41.43	$75.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $12.99 / $22.19	Professional	26	$9.15	$12.99	$22.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $30.47 / $51.11	Professional	TC	$22.09	$30.47	$51.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $49.40 / $64.48	Professional		$30.09	$49.40	$64.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $12.96 / $17.67	Professional	26	$8.07	$12.96	$17.67
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $36.61 / $46.82	Professional	TC	$22.02	$36.61	$46.82