Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.37 / $10.37 / $10.37	Facility	26	$10.37	$10.37	$10.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $42.36 / $109.96	Professional		$35.65	$42.36	$109.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.49 / $26.44	Professional	26	$9.86	$11.49	$26.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.59 / $29.95 / $82.67	Professional	TC	$25.59	$29.95	$82.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $48.02 / $54.89	Professional		$40.36	$48.02	$54.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $12.32 / $14.08	Professional	26	$11.09	$12.32	$14.08
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $29.15 / $35.70 / $40.81	Professional	TC	$29.15	$35.70	$40.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $47.47 / $98.08	Professional		$33.74	$47.47	$98.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $12.84 / $26.40	Professional	26	$9.30	$12.84	$26.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $35.15 / $67.77	Professional	TC	$24.33	$35.15	$67.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $51.27 / $73.03	Professional		$43.62	$51.27	$73.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $13.98 / $19.96	Professional	26	$12.12	$13.98	$19.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $31.46 / $37.47 / $53.07	Professional	TC	$31.46	$37.47	$53.07
United Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $44.58 / $93.87	Professional		$32.07	$44.58	$93.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $12.99 / $21.27	Professional	26	$8.41	$12.99	$21.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $28.15 / $50.11	Professional	TC	$22.99	$28.15	$50.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $47.47 / $62.03	Professional		$30.17	$47.47	$62.03
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $12.96 / $17.67	Professional	26	$8.41	$12.96	$17.67
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $34.69 / $44.34	Professional	TC	$21.76	$34.69	$44.34