Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.65 / $9.02 / $13.23	Facility	26	$6.65	$9.02	$13.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.94 / $67.80	Professional		$21.38	$23.94	$67.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $7.89 / $19.91	Professional	26	$6.65	$7.89	$19.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $16.79 / $47.11	Professional	TC	$14.31	$16.79	$47.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $25.69 / $29.36	Professional		$23.12	$25.69	$29.36
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $8.19 / $9.36	Professional	26	$7.37	$8.19	$9.36
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $17.50 / $20.00	Professional	TC	$15.75	$17.50	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $28.28 / $53.92	Professional		$19.37	$28.28	$53.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.02 / $8.85 / $16.87	Professional	26	$6.02	$8.85	$16.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.51 / $19.57 / $37.31	Professional	TC	$13.51	$19.57	$37.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $29.62 / $43.01	Professional		$25.30	$29.62	$43.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $8.98 / $12.93	Professional	26	$7.75	$8.98	$12.93
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.51 / $20.81 / $30.24	Professional	TC	$17.51	$20.81	$30.24
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $24.54 / $43.17	Professional		$19.14	$24.54	$43.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $8.30 / $14.45	Professional	26	$6.04	$8.30	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.10 / $17.85 / $33.57	Professional	TC	$13.10	$17.85	$33.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $27.43 / $35.90	Professional		$18.61	$27.43	$35.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.73 / $8.27 / $11.28	Professional	26	$5.73	$8.27	$11.28
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.27 / $24.63	Professional	TC	$12.88	$19.27	$24.63