Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.93 / $10.71 / $12.17	Facility	26	$8.93	$10.71	$12.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $38.92 / $184.33	Professional		$33.46	$38.92	$184.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $11.72 / $32.47	Professional	26	$8.93	$11.72	$32.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $27.69 / $76.97	Professional	TC	$23.38	$27.69	$76.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $42.97 / $49.42	Professional		$38.67	$42.97	$49.42
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $13.39 / $16.17	Professional	26	$12.05	$13.39	$16.17
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $29.58 / $34.10	Professional	TC	$26.62	$29.58	$34.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $46.32 / $84.97	Professional		$30.27	$46.32	$84.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $13.52 / $26.44	Professional	26	$8.10	$13.52	$26.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $33.93 / $64.50	Professional	TC	$22.13	$33.93	$64.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $46.04 / $70.55	Professional		$39.14	$46.04	$70.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.43 / $12.73 / $21.17	Professional	26	$10.43	$12.73	$21.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.67 / $34.14 / $49.37	Professional	TC	$28.67	$34.14	$49.37
United Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $41.69 / $84.51	Professional		$30.84	$41.69	$84.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $11.55 / $20.13	Professional	26	$8.93	$11.55	$20.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $28.14 / $55.39	Professional	TC	$21.55	$28.14	$55.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $42.59 / $55.62	Professional		$31.31	$42.59	$55.62
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $11.17 / $15.23	Professional	26	$8.38	$11.17	$15.23
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $31.61 / $40.39	Professional	TC	$22.94	$31.61	$40.39