Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.07 / $12.08 / $13.75	Facility	26	$10.07	$12.08	$13.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $45.07 / $131.59	Professional		$38.56	$45.07	$131.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $10.80 / $28.30	Professional	26	$9.88	$10.80	$28.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.76 / $32.26 / $91.92	Professional	TC	$27.76	$32.26	$91.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $48.40 / $61.47	Professional		$43.88	$48.40	$61.47
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $11.50 / $14.61	Professional	26	$10.68	$11.50	$14.61
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $33.20 / $36.89 / $46.85	Professional	TC	$33.20	$36.89	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $51.78 / $100.69	Professional		$35.82	$51.78	$100.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $12.93 / $25.59	Professional	26	$9.03	$12.93	$25.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $40.69 / $77.14	Professional	TC	$26.70	$40.69	$77.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $54.60 / $77.95	Professional		$46.41	$54.60	$77.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $13.58 / $19.35	Professional	26	$11.32	$13.58	$19.35
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.60 / $41.21 / $58.62	Professional	TC	$34.60	$41.21	$58.62
United Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $45.52 / $79.34	Professional		$35.65	$45.52	$79.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $12.17 / $21.30	Professional	26	$8.38	$12.17	$21.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.54 / $35.72 / $74.84	Professional	TC	$26.54	$35.72	$74.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $50.56 / $65.97	Professional		$35.90	$50.56	$65.97
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $12.61 / $17.19	Professional	26	$9.14	$12.61	$17.19
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.77 / $38.15 / $48.78	Professional	TC	$26.77	$38.15	$48.78