Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $10.21 / $14.94	Facility	26	$7.50	$10.21	$14.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $30.50 / $144.00	Professional		$25.95	$30.50	$144.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $10.35 / $37.19	Professional	26	$7.50	$10.35	$37.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.34 / $54.95	Professional	TC	$17.57	$22.34	$54.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $32.19 / $36.79	Professional		$27.59	$32.19	$36.79
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $8.90 / $10.17	Professional	26	$8.01	$8.90	$10.17
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $23.29 / $26.62	Professional	TC	$18.30	$23.29	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $33.85 / $70.66	Professional		$24.44	$33.85	$70.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.96 / $19.30	Professional	26	$6.74	$9.96	$19.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.66 / $24.13 / $50.68	Professional	TC	$17.66	$24.13	$50.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $38.28 / $55.17	Professional		$30.12	$38.28	$55.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $10.11 / $14.70	Professional	26	$8.77	$10.11	$14.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $27.52 / $40.72	Professional	TC	$22.28	$27.52	$40.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.04 / $52.38	Professional		$21.88	$31.04	$52.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $9.30 / $15.89	Professional	26	$6.47	$9.30	$15.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $21.66 / $40.57	Professional	TC	$15.28	$21.66	$40.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $35.44 / $46.26	Professional		$22.27	$35.44	$46.26
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.01 / $9.36 / $12.77	Professional	26	$6.01	$9.36	$12.77
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.26 / $26.21 / $33.50	Professional	TC	$16.26	$26.21	$33.50