Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $141.25	Professional		$33.11	$48.98	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $31.62	Professional	26	$7.94	$12.88	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $79.43	Professional	TC	$22.91	$30.90	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $51.29	Professional		$31.62	$41.69	$51.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.96 / $14.79	Professional	26	$9.77	$10.96	$14.79
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $36.31 / $54.95	Professional	TC	$30.20	$36.31	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $85.11	Professional		$31.62	$42.66	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.02 / $23.44	Professional	26	$8.13	$12.02	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $72.44	Professional	TC	$23.44	$32.36	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $66.07	Professional		$41.69	$48.98	$66.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.75 / $16.22	Professional	26	$10.72	$11.75	$16.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $36.31 / $50.12	Professional	TC	$31.62	$36.31	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $72.44	Professional		$30.20	$40.74	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.48 / $19.95	Professional	26	$8.32	$11.48	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $53.70	Professional	TC	$21.88	$28.84	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $67.61	Professional		$29.51	$51.29	$67.61
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $15.85	Professional	26	$7.24	$12.30	$15.85
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $52.48	Professional	TC	$22.39	$38.02	$52.48