Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $8.36 / $8.36	Facility	26	$8.36	$8.36	$8.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $30.09 / $96.74	Professional		$25.76	$30.09	$96.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.52 / $26.39	Professional	26	$8.36	$9.52	$26.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.40 / $59.07	Professional	TC	$17.28	$21.40	$59.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $33.49 / $44.85	Professional		$29.89	$33.49	$44.85
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.91 / $13.61	Professional	26	$10.72	$11.91	$13.61
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $21.58 / $32.84	Professional	TC	$17.98	$21.58	$32.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $38.14 / $72.18	Professional		$25.33	$38.14	$72.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $11.74 / $22.75	Professional	26	$7.32	$11.74	$22.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.63 / $27.53 / $55.31	Professional	TC	$16.63	$27.53	$55.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $39.02 / $54.98	Professional		$30.86	$39.02	$54.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $11.24 / $16.10	Professional	26	$9.32	$11.24	$16.10
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $28.31 / $38.88	Professional	TC	$20.65	$28.31	$38.88
United Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $32.84 / $57.51	Professional		$23.97	$32.84	$57.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $10.47 / $20.17	Professional	26	$7.64	$10.47	$20.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.01 / $39.85	Professional	TC	$16.32	$23.01	$39.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $36.13 / $47.25	Professional		$26.40	$36.13	$47.25
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $10.08 / $13.74	Professional	26	$7.51	$10.08	$13.74
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $26.21 / $33.50	Professional	TC	$18.89	$26.21	$33.50