Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.65 / $12.77 / $14.59	Facility	26	$10.65	$12.77	$14.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $46.50 / $208.79	Professional		$39.19	$46.50	$208.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $13.07 / $60.00	Professional	26	$10.65	$13.07	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $34.22 / $89.16	Professional	TC	$27.55	$34.22	$89.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.69 / $56.79	Professional		$46.32	$49.69	$56.79
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $13.75 / $15.71	Professional	26	$12.37	$13.75	$15.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $32.57 / $35.94 / $41.08	Professional	TC	$32.57	$35.94	$41.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $52.34 / $98.12	Professional		$37.09	$52.34	$98.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $14.53 / $28.35	Professional	26	$9.64	$14.53	$28.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.16 / $38.34 / $78.18	Professional	TC	$27.16	$38.34	$78.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $57.06 / $82.81	Professional		$46.24	$57.06	$82.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $14.78 / $21.75	Professional	26	$12.46	$14.78	$21.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.75 / $42.89 / $62.32	Professional	TC	$33.75	$42.89	$62.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $46.56 / $80.28	Professional		$34.22	$46.56	$80.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $14.10 / $23.23	Professional	26	$9.41	$14.10	$23.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.27 / $32.85 / $58.45	Professional	TC	$24.27	$32.85	$58.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $52.83 / $68.93	Professional		$33.47	$52.83	$68.93
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $13.32 / $18.17	Professional	26	$8.61	$13.32	$18.17
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $39.71 / $50.76	Professional	TC	$24.86	$39.71	$50.76