Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.81 / $10.60 / $15.54	Facility	26	$7.81	$10.60	$15.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.54 / $99.89 / $309.24	Facility	TC	$21.54	$99.89	$309.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $31.82 / $117.46	Professional		$26.77	$31.82	$117.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.72 / $39.94	Professional	26	$7.88	$9.72	$39.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.68 / $57.35	Professional	TC	$18.32	$21.68	$57.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $34.65 / $44.02	Professional		$32.86	$34.65	$44.02
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $10.69 / $13.58	Professional	26	$9.61	$10.69	$13.58
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $22.17 / $23.97 / $30.54	Professional	TC	$22.17	$23.97	$30.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $37.76 / $72.73	Professional		$26.01	$37.76	$72.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $10.83 / $21.04	Professional	26	$7.07	$10.83	$21.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $26.35 / $53.66	Professional	TC	$18.23	$26.35	$53.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $41.54 / $56.40	Professional		$34.45	$41.54	$56.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $10.58 / $15.04	Professional	26	$9.03	$10.58	$15.04
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.33 / $30.64 / $41.36	Professional	TC	$25.33	$30.64	$41.36
United Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $32.11 / $58.48	Professional		$24.65	$32.11	$58.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $10.30 / $16.55	Professional	26	$7.34	$10.30	$16.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.17 / $22.38 / $41.92	Professional	TC	$17.17	$22.38	$41.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $37.76 / $49.22	Professional		$25.92	$37.76	$49.22
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $9.72 / $13.26	Professional	26	$6.84	$9.72	$13.26
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $28.14 / $35.97	Professional	TC	$19.07	$28.14	$35.97