Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.53 / $10.21 / $14.98	Facility	26	$7.53	$10.21	$14.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $30.53 / $151.59	Professional		$20.14	$30.53	$151.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.40 / $24.58	Professional	26	$7.59	$9.40	$24.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.58 / $61.24 / $117.10	Professional	50	$54.58	$61.24	$117.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.46 / $58.79	Professional	TC	$13.49	$19.46	$58.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $33.61 / $38.03	Professional		$31.80	$33.61	$38.03
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $10.49 / $11.99	Professional	26	$9.27	$10.49	$11.99
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $23.12 / $26.16	Professional	TC	$21.89	$23.12	$26.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $32.10 / $62.83	Professional		$19.29	$32.10	$62.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $10.44 / $20.04	Professional	26	$6.81	$10.44	$20.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.46 / $22.21 / $42.42	Professional	TC	$12.46	$22.21	$42.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $32.17 / $47.43	Professional		$24.94	$32.17	$47.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $10.58 / $14.70	Professional	26	$8.81	$10.58	$14.70
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $20.78 / $32.72	Professional	TC	$16.11	$20.78	$32.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $28.15 / $49.55	Professional		$21.60	$28.15	$49.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $9.38 / $15.98	Professional	26	$6.60	$9.38	$15.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $20.62 / $34.95	Professional	TC	$15.59	$20.62	$34.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.00 / $35.42	Professional		$19.95	$27.00	$35.42
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $9.36 / $12.77	Professional	26	$7.06	$9.36	$12.77
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.89 / $17.73 / $22.65	Professional	TC	$12.89	$17.73	$22.65