Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.23 / $7.23 / $7.23	Facility	26	$7.23	$7.23	$7.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $31.75 / $151.88	Professional		$28.00	$31.75	$151.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $8.13 / $19.37	Professional	26	$7.23	$8.13	$19.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $23.70 / $57.72	Professional	TC	$20.22	$23.70	$57.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $34.65 / $44.02	Professional		$31.19	$34.65	$44.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.31 / $11.82	Professional	26	$8.38	$9.31	$11.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $25.35 / $32.19	Professional	TC	$22.81	$25.35	$32.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $37.54 / $71.70	Professional		$25.97	$37.54	$71.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $9.78 / $19.23	Professional	26	$6.55	$9.78	$19.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $28.23 / $53.74	Professional	TC	$19.28	$28.23	$53.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $39.57 / $56.49	Professional		$33.54	$39.57	$56.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $10.14 / $14.70	Professional	26	$8.44	$10.14	$14.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $29.97 / $42.59	Professional	TC	$24.33	$29.97	$42.59
United Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $31.40 / $55.32	Professional		$24.25	$31.40	$55.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $8.64 / $15.58	Professional	26	$6.60	$8.64	$15.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $22.38 / $38.57	Professional	TC	$17.64	$22.38	$38.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $36.64 / $47.75	Professional		$24.09	$36.64	$47.75
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $9.00 / $12.27	Professional	26	$6.06	$9.00	$12.27
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $27.75 / $35.47	Professional	TC	$18.03	$27.75	$35.47