Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $41.96 / $130.87	Facility		$10.02	$41.96	$130.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.68 / $6.68 / $6.68	Facility	26	$6.68	$6.68	$6.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.03 / $60.00	Professional		$10.02	$13.03	$60.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $8.26 / $24.17	Professional	26	$6.68	$8.26	$24.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.04 / $11.36 / $11.36	Professional	50	$11.04	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $4.09 / $9.75	Professional	TC	$3.15	$4.09	$9.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $13.79 / $17.43	Professional		$12.41	$13.79	$17.43
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $8.52 / $14.00	Professional	26	$7.67	$8.52	$14.00
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.43 / $5.26 / $5.96	Professional	TC	$3.43	$5.26	$5.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Facility		$10.76	$10.76	$10.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $14.30 / $28.82	Professional		$9.06	$14.30	$28.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $9.96 / $19.80	Professional	26	$6.04	$9.96	$19.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.90 / $4.65 / $10.29	Professional	TC	$2.90	$4.65	$10.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $14.68 / $24.77	Professional		$11.74	$14.68	$24.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $9.78 / $15.64	Professional	26	$7.83	$9.78	$15.64
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $3.91 / $4.86 / $8.46	Professional	TC	$3.91	$4.86	$8.46
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.50 / $28.01	Professional		$9.52	$13.50	$28.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $8.82 / $16.01	Professional	26	$6.60	$8.82	$16.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.68 / $4.37 / $7.48	Professional	TC	$2.68	$4.37	$7.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $13.50 / $16.70	Professional		$11.74	$13.50	$16.70
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $9.00 / $11.30	Professional	26	$7.83	$9.00	$11.30
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.91 / $4.50 / $5.50	Professional	TC	$3.91	$4.50	$5.50