Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $35.48 / $436.52	Facility		$10.00	$35.48	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $6.61 / $6.61	Facility	26	$6.61	$6.61	$6.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.49 / $48.98	Professional		$9.77	$15.49	$48.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $33.88	Professional	26	$6.03	$8.91	$33.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $29.51	Professional	50	$11.48	$11.48	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $12.59	Professional	TC	$3.02	$3.98	$12.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.59 / $14.79	Professional		$9.55	$12.59	$14.79
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.32 / $9.12	Professional	26	$7.41	$8.32	$9.12
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $4.27 / $4.79	Professional	TC	$3.80	$4.27	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $17.78	Facility		$10.72	$10.72	$17.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.45 / $28.18	Professional		$9.12	$14.45	$28.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.00 / $18.62	Professional	26	$6.03	$10.00	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.57 / $9.33	Professional	TC	$2.88	$4.57	$9.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.13 / $20.89	Professional		$12.30	$14.13	$20.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $13.49	Professional	26	$7.94	$9.33	$13.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $5.01 / $7.08	Professional	TC	$4.37	$5.01	$7.08
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $8.32 / $15.14	Facility		$2.24	$8.32	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $23.99	Professional		$9.55	$13.18	$23.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.91 / $15.85	Professional	26	$6.76	$8.91	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.14 / $4.17 / $8.13	Professional	TC	$2.14	$4.17	$8.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $17.78	Professional		$11.75	$15.14	$17.78
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $11.48	Professional	26	$7.76	$9.77	$11.48
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $5.37 / $6.17	Professional	TC	$3.89	$5.37	$6.17