Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $9.81 / $14.38	Facility	26	$7.23	$9.81	$14.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $37.13 / $181.00	Professional		$31.16	$37.13	$181.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $8.73 / $41.36	Professional	26	$7.30	$8.73	$41.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $29.24 / $70.41	Professional	TC	$22.75	$29.24	$70.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $39.36 / $45.01	Professional		$31.80	$39.36	$45.01
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 $22.51 / $30.47 / $34.82	Professional	TC	$22.51	$30.47	$34.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $38.76 / $77.01	Professional		$29.41	$38.76	$77.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $9.69 / $18.76	Professional	26	$6.55	$9.69	$18.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $29.90 / $66.29	Professional	TC	$22.21	$29.90	$66.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $46.23 / $66.97	Professional		$36.39	$46.23	$66.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $9.74 / $14.70	Professional	26	$8.44	$9.74	$14.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $35.61 / $53.07	Professional	TC	$28.83	$35.61	$53.07
United Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $36.81 / $64.94	Professional		$24.70	$36.81	$64.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.02 / $15.30	Professional	26	$6.47	$9.02	$15.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $27.16 / $49.48	Professional	TC	$19.28	$27.16	$49.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $42.81 / $55.64	Professional		$25.97	$42.81	$55.64
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.61 / $9.00 / $12.27	Professional	26	$5.61	$9.00	$12.27
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $33.92 / $43.37	Professional	TC	$20.36	$33.92	$43.37