Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $11.22 / $12.59	Facility	26	$9.12	$11.22	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $186.21	Professional		$33.11	$56.23	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $18.62 / $33.11	Professional	26	$8.91	$18.62	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $102.33	Professional	TC	$22.91	$37.15	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $45.71	Professional		$24.55	$39.81	$45.71
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.22 / $12.88	Professional	26	$10.00	$11.22	$12.88
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $29.51 / $37.15	Professional	TC	$28.18	$29.51	$37.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $89.13	Professional		$30.20	$38.90	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.72 / $23.44	Professional	26	$7.59	$10.72	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $63.10	Professional	TC	$21.88	$29.51	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $61.66	Professional		$38.90	$45.71	$61.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.75 / $16.22	Professional	26	$10.23	$11.75	$16.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.88 / $45.71	Professional	TC	$28.84	$33.88	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $67.61	Professional		$27.54	$38.90	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $19.95	Professional	26	$7.41	$11.22	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.92 / $50.12	Professional	TC	$20.42	$26.92	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $64.57	Professional		$27.54	$47.86	$64.57
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $16.22	Professional	26	$7.24	$12.30	$16.22
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $47.86	Professional	TC	$19.95	$35.48	$47.86