Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $8.07 / $11.05	Facility	26	$8.07	$8.07	$11.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $56.97 / $288.58	Professional		$21.26	$56.97	$288.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.15 / $54.00	Professional	26	$8.36	$10.15	$54.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $25.74 / $119.70	Professional	TC	$13.19	$25.74	$119.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $27.60 / $135.37	Professional		$25.22	$27.60	$135.37
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $10.26 / $11.72	Professional	26	$9.13	$10.26	$11.72
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $14.96 / $16.89 / $126.23	Professional	TC	$14.96	$16.89	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $34.74 / $130.91	Professional		$20.59	$34.74	$130.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $11.30 / $21.89	Professional	26	$7.32	$11.30	$21.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $22.24 / $116.46	Professional	TC	$13.00	$22.24	$116.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $34.34 / $58.62	Professional		$26.62	$34.34	$58.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $11.35 / $15.49	Professional	26	$9.32	$11.35	$15.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $22.14 / $37.89	Professional	TC	$17.16	$22.14	$37.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $31.44 / $94.35	Professional		$20.27	$31.44	$94.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.64 / $19.39	Professional	26	$6.17	$10.64	$19.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.42 / $18.96 / $78.45	Professional	TC	$11.42	$18.96	$78.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $28.80 / $37.44	Professional		$21.30	$28.80	$37.44
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $9.91 / $12.88	Professional	26	$7.57	$9.91	$12.88
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $13.73 / $18.89 / $24.13	Professional	TC	$13.73	$18.89	$24.13