Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $9.68 / $10.99	Facility	26	$8.07	$9.68	$10.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $76.76 / $231.71	Professional		$33.79	$76.76	$231.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.92 / $30.00	Professional	26	$8.36	$10.92	$30.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $58.53 / $125.92	Professional	TC	$25.18	$58.53	$125.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $53.16 / $126.94	Professional		$50.10	$53.16	$126.94
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $10.79 / $16.30	Professional	26	$9.71	$10.79	$16.30
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $40.39 / $42.37 / $110.63	Professional	TC	$40.39	$42.37	$110.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $58.54 / $137.27	Professional		$31.65	$58.54	$137.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $11.58 / $21.89	Professional	26	$7.32	$11.58	$21.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $45.91 / $122.77	Professional	TC	$24.33	$45.91	$122.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $52.79 / $105.50	Professional		$40.92	$52.79	$105.50
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 $31.46 / $40.58 / $94.20	Professional	TC	$31.46	$40.58	$94.20
United Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $52.22 / $112.86	Professional		$33.40	$52.22	$112.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $11.04 / $20.19	Professional	26	$7.70	$11.04	$20.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $43.91 / $110.21	Professional	TC	$26.30	$43.91	$110.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $44.61 / $58.10	Professional		$32.74	$44.61	$58.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $10.08 / $13.74	Professional	26	$7.57	$10.08	$13.74
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $34.69 / $44.34	Professional	TC	$25.17	$34.69	$44.34