Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.93 / $8.31 / $9.81	Facility	26	$6.93	$8.31	$9.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.86 / $145.28	Professional		$26.78	$31.86	$145.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $7.90 / $20.45	Professional	26	$6.93	$7.90	$20.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $24.25 / $59.90	Professional	TC	$19.46	$24.25	$59.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $34.64 / $39.60	Professional		$31.80	$34.64	$39.60
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.31 / $10.64	Professional	26	$8.38	$9.31	$10.64
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.51 / $25.34 / $28.96	Professional	TC	$22.51	$25.34	$28.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $35.78 / $75.05	Professional		$26.39	$35.78	$75.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $9.69 / $18.73	Professional	26	$6.49	$9.69	$18.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.23 / $56.63	Professional	TC	$19.05	$26.23	$56.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $41.23 / $57.71	Professional		$32.45	$41.23	$57.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $9.74 / $14.70	Professional	26	$8.44	$9.74	$14.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.91 / $31.64 / $44.43	Professional	TC	$24.91	$31.64	$44.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $32.47 / $54.90	Professional		$23.42	$32.47	$54.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $9.02 / $15.46	Professional	26	$6.56	$9.02	$15.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.46 / $23.46 / $41.77	Professional	TC	$16.46	$23.46	$41.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $38.18 / $49.71	Professional		$22.64	$38.18	$49.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.47 / $9.00 / $12.27	Professional	26	$5.47	$9.00	$12.27
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $17.17 / $29.30 / $37.44	Professional	TC	$17.17	$29.30	$37.44