Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $8.36 / $8.36	Facility	26	$8.36	$8.36	$8.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $19.26 / $56.26	Professional		$15.89	$19.26	$56.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.52 / $22.86	Professional	26	$8.36	$9.52	$22.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.02 / $10.11 / $22.88	Professional	TC	$7.02	$10.11	$22.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $22.05 / $35.78	Professional		$19.85	$22.05	$35.78
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $12.01 / $13.59	Professional	26	$10.81	$12.01	$13.59
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $9.03 / $10.03 / $24.94	Professional	TC	$9.03	$10.03	$24.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $24.33 / $46.41	Professional		$15.20	$24.33	$46.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $11.80 / $23.25	Professional	26	$7.78	$11.80	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.34 / $11.87 / $26.12	Professional	TC	$7.34	$11.87	$26.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $23.58 / $40.56	Professional		$19.64	$23.58	$40.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $12.10 / $17.05	Professional	26	$10.16	$12.10	$17.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $9.49 / $12.18 / $19.00	Professional	TC	$9.49	$12.18	$19.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $23.09 / $34.64	Professional		$15.81	$23.09	$34.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $10.83 / $21.69	Professional	26	$7.70	$10.83	$21.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.65 / $11.47 / $22.44	Professional	TC	$7.65	$11.47	$22.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $21.09 / $28.02	Professional		$15.72	$21.09	$28.02
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.80 / $14.73	Professional	26	$8.13	$10.80	$14.73
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $7.59 / $10.40 / $13.29	Professional	TC	$7.59	$10.40	$13.29