Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.00 / $15.74 / $18.48	Facility	26	$13.00	$15.74	$18.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $39.54 / $111.00	Professional		$17.50	$39.54	$111.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $14.09 / $49.00	Professional	26	$7.48	$14.09	$49.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $24.23 / $48.46	Professional	TC	$11.48	$24.23	$48.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $51.46 / $58.23	Professional		$22.37	$51.46	$58.23
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.95 / $20.32	Professional	26	$8.91	$17.95	$20.32
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $10.68 / $33.51 / $37.92	Professional	TC	$10.68	$33.51	$37.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $34.90 / $96.60	Professional		$17.28	$34.90	$96.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $12.36 / $33.03	Professional	26	$7.62	$12.36	$33.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.98 / $22.71 / $61.47	Professional	TC	$9.98	$22.71	$61.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $51.31 / $66.93	Professional		$31.43	$51.31	$66.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $17.26 / $22.89	Professional	26	$10.39	$17.26	$22.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $34.00 / $44.46	Professional	TC	$18.23	$34.00	$44.46
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.68 / $75.30	Professional		$16.98	$38.68	$75.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $14.36 / $27.83	Professional	26	$6.34	$14.36	$27.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.74 / $24.09 / $46.67	Professional	TC	$9.74	$24.09	$46.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $48.36 / $63.47	Professional		$16.39	$48.36	$63.47
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.61 / $16.19 / $22.08	Professional	26	$5.61	$16.19	$22.08
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $10.79 / $32.38 / $41.39	Professional	TC	$10.79	$32.38	$41.39