Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $7.24 / $7.24	Facility	26	$7.24	$7.24	$7.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $158.49	Professional		$25.70	$38.02	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.80 / $26.30	Professional	26	$7.08	$13.80	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $57.54	Professional	TC	$19.05	$27.54	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $33.11 / $41.69	Professional		$7.94	$33.11	$41.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $12.02	Professional	26	$7.94	$8.91	$12.02
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.12 / $37.15	Professional	TC	$23.44	$25.12	$37.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $13.49 / $13.49	Facility	26	$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $72.44	Professional		$25.12	$36.31	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.55 / $19.05	Professional	26	$6.61	$9.55	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $56.23	Professional	TC	$19.05	$27.54	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $51.29	Professional		$33.88	$38.02	$51.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.55 / $13.18	Professional	26	$8.51	$9.55	$13.18
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.18 / $38.90	Professional	TC	$24.55	$28.18	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $57.54	Professional		$25.12	$32.36	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.12 / $15.49	Professional	26	$6.61	$9.12	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $41.69	Professional	TC	$18.20	$24.55	$41.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $52.48	Professional		$23.99	$39.81	$52.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.00 / $12.88	Professional	26	$6.03	$10.00	$12.88
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $29.51 / $40.74	Professional	TC	$18.20	$29.51	$40.74