Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.50 / $13.92 / $16.39	Facility	26	$11.50	$13.92	$16.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $46.20 / $233.00	Professional		$40.04	$46.20	$233.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $13.32 / $36.69	Professional	26	$11.51	$13.32	$36.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $34.22 / $90.26	Professional	TC	$27.87	$34.22	$90.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $50.81 / $64.53	Professional		$47.74	$50.81	$64.53
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $14.87 / $18.88	Professional	26	$13.38	$14.87	$18.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $35.94 / $45.64	Professional	TC	$32.86	$35.94	$45.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $53.65 / $98.12	Professional		$37.88	$53.65	$98.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $15.72 / $30.78	Professional	26	$10.42	$15.72	$30.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $38.34 / $77.43	Professional	TC	$27.28	$38.34	$77.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $58.21 / $84.47	Professional		$47.67	$58.21	$84.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $15.95 / $23.52	Professional	26	$13.48	$15.95	$23.52
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 $35.28 / $46.72 / $83.07	Professional		$35.28	$46.72	$83.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $13.52 / $24.39	Professional	26	$9.97	$13.52	$24.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $32.84 / $61.52	Professional	TC	$24.55	$32.84	$61.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $53.90 / $70.40	Professional		$34.64	$53.90	$70.40
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $14.41 / $19.64	Professional	26	$9.44	$14.41	$19.64
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $39.71 / $50.76	Professional	TC	$25.19	$39.71	$50.76