Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $9.68 / $10.99	Facility	26	$8.07	$9.68	$10.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $35.00 / $168.00	Professional		$28.91	$35.00	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $9.44 / $27.26	Professional	26	$8.07	$9.44	$27.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.03 / $64.23	Professional	TC	$20.39	$24.03	$64.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $35.36 / $44.92	Professional		$33.58	$35.36	$44.92
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $10.38 / $13.18	Professional	26	$9.34	$10.38	$13.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $24.99 / $31.74	Professional	TC	$23.76	$24.99	$31.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $38.96 / $74.56	Professional		$26.61	$38.96	$74.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $11.30 / $21.87	Professional	26	$7.32	$11.30	$21.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $28.22 / $56.20	Professional	TC	$19.14	$28.22	$56.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $40.68 / $58.69	Professional		$34.59	$40.68	$58.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $11.29 / $17.05	Professional	26	$9.41	$11.29	$17.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $29.97 / $43.20	Professional	TC	$24.33	$29.97	$43.20
United Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $32.43 / $57.65	Professional		$25.60	$32.43	$57.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $10.47 / $17.73	Professional	26	$7.55	$10.47	$17.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $23.83 / $40.50	Professional	TC	$18.00	$23.83	$40.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $37.67 / $49.22	Professional		$26.73	$37.67	$49.22
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $10.08 / $13.74	Professional	26	$7.30	$10.08	$13.74
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $27.75 / $35.47	Professional	TC	$19.43	$27.75	$35.47