Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $9.12 / $10.47	Facility	26	$7.59	$9.12	$10.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $144.54	Professional		$25.70	$43.65	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $16.60 / $37.15	Professional	26	$7.59	$16.60	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $75.86	Professional	TC	$18.20	$26.92	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $36.31	Professional		$20.42	$30.20	$36.31
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.33 / $9.77	Professional	26	$8.32	$9.33	$9.77
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $30.20	Professional	TC	$18.20	$23.99	$30.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $63.10	Professional		$23.44	$31.62	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.55 / $19.50	Professional	26	$6.61	$9.55	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.39 / $50.12	Professional	TC	$16.60	$22.39	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $50.12	Professional		$31.62	$36.31	$50.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.00 / $13.49	Professional	26	$8.91	$10.00	$13.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $26.30 / $36.31	Professional	TC	$22.91	$26.30	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $54.95	Professional		$21.88	$30.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.33 / $16.22	Professional	26	$6.61	$9.33	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $38.90	Professional	TC	$15.14	$21.88	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $51.29	Professional		$22.39	$38.02	$51.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.47 / $13.18	Professional	26	$6.03	$10.47	$13.18
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $27.54 / $38.02	Professional	TC	$16.22	$27.54	$38.02