Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.23 / $9.23 / $9.23	Facility	26	$9.23	$9.23	$9.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $49.04 / $197.24	Professional		$36.14	$49.04	$197.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $11.11 / $28.30	Professional	26	$9.35	$11.11	$28.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $36.57 / $108.75	Professional	TC	$26.40	$36.57	$108.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $46.09 / $52.68	Professional		$41.48	$46.09	$52.68
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $13.09 / $14.96	Professional	26	$11.78	$13.09	$14.96
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.70 / $33.00 / $39.04	Professional	TC	$29.70	$33.00	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $50.84 / $95.71	Professional		$32.70	$50.84	$95.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $12.86 / $24.56	Professional	26	$8.35	$12.86	$24.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $38.88 / $71.47	Professional	TC	$24.33	$38.88	$71.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $54.54 / $75.30	Professional		$42.28	$54.54	$75.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $12.98 / $19.39	Professional	26	$10.80	$12.98	$19.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.46 / $40.58 / $55.91	Professional	TC	$31.46	$40.58	$55.91
United Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $44.71 / $74.59	Professional		$33.31	$44.71	$74.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $12.17 / $25.75	Professional	26	$8.52	$12.17	$25.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $32.88 / $53.40	Professional	TC	$24.83	$32.88	$53.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $46.06 / $60.06	Professional		$33.82	$46.06	$60.06
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.52 / $15.71	Professional	26	$8.66	$11.52	$15.71
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $34.69 / $44.34	Professional	TC	$25.17	$34.69	$44.34