Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $9.12 / $10.96	Facility	26	$7.59	$9.12	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $117.49	Professional		$19.05	$30.90	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.98 / $38.90	Professional	26	$7.94	$16.98	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $60.26 / $120.23	Professional	50	$52.48	$60.26	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $21.88 / $67.61	Professional	TC	$12.88	$21.88	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $23.99 / $30.20	Professional		$9.33	$23.99	$30.20
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.32 / $10.00	Professional	26	$8.32	$8.32	$10.00
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $15.85 / $22.39	Professional	TC	$15.85	$15.85	$22.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $60.26	Professional		$19.05	$31.62	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.23 / $19.95	Professional	26	$6.76	$10.23	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $21.38 / $41.69	Professional	TC	$12.59	$21.38	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $39.81	Professional		$26.30	$30.20	$39.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.47 / $14.13	Professional	26	$9.33	$10.47	$14.13
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $19.95 / $25.70	Professional	TC	$16.98	$19.95	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $51.29	Professional		$22.91	$28.84	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.33 / $16.22	Professional	26	$6.61	$9.33	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.95 / $35.48	Professional	TC	$16.22	$19.95	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $38.90	Professional		$23.99	$30.90	$38.90
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.72 / $13.49	Professional	26	$8.51	$10.72	$13.49
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.95 / $25.70	Professional	TC	$15.49	$19.95	$25.70