Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $15.85 / $17.78	Facility	26	$12.88	$15.85	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $39.81 / $107.15	Professional		$17.38	$39.81	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.95 / $48.98	Professional	26	$10.96	$19.95	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $25.12 / $50.12	Professional	TC	$10.96	$25.12	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $42.66 / $48.98	Professional		$18.20	$42.66	$48.98
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.45 / $16.60	Professional	26	$10.23	$14.45	$16.60
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $28.84 / $34.67	Professional	TC	$27.54	$28.84	$34.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	26	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $87.10	Professional		$15.85	$33.11	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $30.20	Professional	26	$7.08	$12.02	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $22.39 / $61.66	Professional	TC	$9.33	$22.39	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $66.07	Professional		$38.90	$50.12	$66.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $16.22 / $22.39	Professional	26	$13.49	$16.22	$22.39
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $44.67	Professional	TC	$25.70	$33.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.02 / $72.44	Professional		$17.78	$38.02	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $13.80 / $26.92	Professional	26	$6.31	$13.80	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $23.99 / $46.77	Professional	TC	$10.96	$23.99	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $52.48 / $67.61	Professional		$16.22	$52.48	$67.61
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $17.78 / $22.91	Professional	26	$5.62	$17.78	$22.91
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $35.48 / $45.71	Professional	TC	$10.72	$35.48	$45.71