Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.44 / $17.64 / $26.76	Facility	26	$13.44	$17.64	$26.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $68.37 / $129.21	Professional		$37.88	$68.37	$129.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $13.87 / $36.70	Professional	26	$7.61	$13.87	$36.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.27 / $44.38 / $133.77	Professional	TC	$24.27	$44.38	$133.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $56.58 / $73.55	Professional		$51.58	$56.58	$73.55
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $13.95 / $17.10	Professional	26	$9.31	$13.95	$17.10
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $39.97 / $42.62 / $56.61	Professional	TC	$39.97	$42.62	$56.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $61.66 / $111.23	Professional		$34.59	$61.66	$111.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $13.44 / $33.97	Professional	26	$8.19	$13.44	$33.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $44.84 / $82.78	Professional	TC	$22.71	$44.84	$82.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $57.69 / $95.61	Professional		$44.72	$57.69	$95.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $17.30 / $25.14	Professional	26	$10.41	$17.30	$25.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.37 / $37.89 / $75.16	Professional	TC	$29.37	$37.89	$75.16
United Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $58.05 / $107.60	Professional		$36.95	$58.05	$107.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $14.08 / $27.36	Professional	26	$6.55	$14.08	$27.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $37.82 / $85.82	Professional	TC	$23.45	$37.82	$85.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $48.40 / $63.45	Professional		$35.78	$48.40	$63.45
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $16.18 / $22.07	Professional	26	$12.28	$16.18	$22.07
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $23.50 / $32.38 / $41.39	Professional	TC	$23.50	$32.38	$41.39