Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.21 / $11.14 / $18.32	Facility	26	$9.21	$11.14	$18.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $38.51 / $169.86	Professional		$32.31	$38.51	$169.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.37 / $41.97	Professional	26	$8.52	$10.37	$41.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $28.31 / $127.89	Professional	TC	$23.19	$28.31	$127.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $39.13 / $44.72	Professional		$37.09	$39.13	$44.72
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $10.02 / $11.46	Professional	26	$9.76	$10.02	$11.46
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.04 / $29.10 / $33.26	Professional	TC	$27.04	$29.10	$33.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $41.86 / $88.73	Professional		$30.96	$41.86	$88.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $11.44 / $23.39	Professional	26	$8.02	$11.44	$23.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $31.20 / $64.06	Professional	TC	$22.63	$31.20	$64.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $48.04 / $68.28	Professional		$37.81	$48.04	$68.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $12.42 / $17.67	Professional	26	$9.91	$12.42	$17.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $35.79 / $50.61	Professional	TC	$28.18	$35.79	$50.61
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $38.61 / $65.73	Professional		$27.79	$38.61	$65.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $11.44 / $20.13	Professional	26	$7.34	$11.44	$20.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $26.10 / $46.03	Professional	TC	$20.45	$26.10	$46.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $44.48 / $58.08	Professional		$27.33	$44.48	$58.08
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $11.52 / $15.71	Professional	26	$7.22	$11.52	$15.71
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.11 / $33.15 / $42.38	Professional	TC	$20.11	$33.15	$42.38