Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $9.81 / $14.40	Facility	26	$7.24	$9.81	$14.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $38.82 / $147.00	Professional		$30.51	$38.82	$147.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.16 / $23.07	Professional	26	$7.24	$9.16	$23.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $28.41 / $65.56	Professional	TC	$22.26	$28.41	$65.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $43.76 / $49.51	Professional		$28.04	$43.76	$49.51
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $10.89 / $12.45	Professional	26	$8.86	$10.89	$12.45
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $32.86 / $37.19	Professional	TC	$19.17	$32.86	$37.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $40.79 / $82.64	Professional		$30.34	$40.79	$82.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $10.32 / $19.23	Professional	26	$6.56	$10.32	$19.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.27 / $32.71 / $71.48	Professional	TC	$22.27	$32.71	$71.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $47.94 / $72.00	Professional		$38.72	$47.94	$72.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $10.37 / $15.27	Professional	26	$8.48	$10.37	$15.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $38.45 / $58.00	Professional	TC	$29.19	$38.45	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $38.93 / $72.19	Professional		$24.72	$38.93	$72.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $9.92 / $16.30	Professional	26	$6.91	$9.92	$16.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $29.63 / $53.96	Professional	TC	$17.43	$29.63	$53.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $45.55 / $59.09	Professional		$28.56	$45.55	$59.09
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.81 / $9.00 / $12.27	Professional	26	$5.81	$9.00	$12.27
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $36.61 / $46.82	Professional	TC	$22.75	$36.61	$46.82