Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.65 / $9.02 / $13.23	Facility	26	$6.65	$9.02	$13.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $30.70 / $78.72	Professional		$18.05	$30.70	$78.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $8.73 / $35.00	Professional	26	$6.71	$8.73	$35.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.45 / $71.45 / $71.45	Professional	50	$71.45	$71.45	$71.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.03 / $13.82 / $37.69	Professional	52	$12.03	$13.82	$37.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $20.75 / $57.37	Professional	TC	$17.82	$20.75	$57.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $31.68 / $36.21	Professional		$26.54	$31.68	$36.21
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $8.53 / $10.33	Professional	26	$7.69	$8.53	$10.33
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $23.14 / $26.45	Professional	TC	$18.44	$23.14	$26.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.15 / $64.45	Professional		$22.81	$32.15	$64.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.02 / $9.09 / $17.64	Professional	26	$6.02	$9.09	$17.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $23.92 / $46.97	Professional	TC	$16.61	$23.92	$46.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $34.61 / $50.41	Professional		$29.49	$34.61	$50.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $9.35 / $14.12	Professional	26	$7.75	$9.35	$14.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $25.81 / $37.65	Professional	TC	$21.69	$25.81	$37.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $28.51 / $50.23	Professional		$21.31	$28.51	$50.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.30 / $14.23	Professional	26	$6.03	$8.30	$14.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $20.21 / $37.86	Professional	TC	$15.28	$20.21	$37.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $32.06 / $41.84	Professional		$21.43	$32.06	$41.84
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $8.27 / $11.28	Professional	26	$5.66	$8.27	$11.28
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $15.76 / $23.90 / $30.54	Professional	TC	$15.76	$23.90	$30.54