Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.39 / $8.39 / $8.39	Facility	26	$8.39	$8.39	$8.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $31.12 / $90.37	Professional		$27.37	$31.12	$90.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $9.40 / $22.48	Professional	26	$8.39	$9.40	$22.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.38 / $62.95	Professional	TC	$18.82	$22.38	$62.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $33.78 / $38.61	Professional		$32.33	$33.78	$38.61
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $10.84 / $12.38	Professional	26	$9.75	$10.84	$12.38
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $22.94 / $27.04	Professional	TC	$22.21	$22.94	$27.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $38.11 / $70.89	Professional		$25.49	$38.11	$70.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.22 / $22.14	Professional	26	$7.58	$11.22	$22.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $26.94 / $52.65	Professional	TC	$17.94	$26.94	$52.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $39.06 / $56.30	Professional		$32.77	$39.06	$56.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $11.31 / $16.47	Professional	26	$9.82	$11.31	$16.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.49 / $27.90 / $40.11	Professional	TC	$22.49	$27.90	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $31.76 / $55.87	Professional		$24.16	$31.76	$55.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.13 / $10.25 / $17.94	Professional	26	$7.13	$10.25	$17.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $24.31 / $46.05	Professional	TC	$17.03	$24.31	$46.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $36.17 / $47.25	Professional		$24.67	$36.17	$47.25
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $10.44 / $14.24	Professional	26	$7.29	$10.44	$14.24
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.83 / $33.02	Professional	TC	$17.38	$25.83	$33.02