Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $812.83	Facility		$38.90	$57.54	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $25.70 / $60.26	Professional		$10.96	$25.70	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $9.12 / $21.38	Professional	26	$3.02	$9.12	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $12.88 / $33.11	Professional	TC	$7.08	$12.88	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $16.98 / $19.50	Professional		$3.80	$16.98	$19.50
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $4.57 / $13.49	Professional	26	$4.07	$4.57	$13.49
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $12.59 / $14.79	Professional	TC	$5.75	$12.59	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $9.55 / $32.36	Professional		$0.19	$9.55	$32.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.05 / $2.45 / $7.24	Professional	26	$0.05	$2.45	$7.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.14 / $7.08 / $21.38	Professional	TC	$0.14	$7.08	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $28.18	Professional		$17.38	$20.89	$28.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $5.75 / $9.77	Professional	26	$4.57	$5.75	$9.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $15.49 / $20.89	Professional	TC	$12.88	$15.49	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.60 / $30.20	Professional		$11.22	$16.60	$30.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $3.72 / $7.59	Professional	26	$2.82	$3.72	$7.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $12.30 / $22.91	Professional	TC	$8.13	$12.30	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $27.54	Professional		$16.98	$24.55	$27.54
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $6.17 / $6.92	Professional	26	$4.79	$6.17	$6.92
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $18.20 / $20.42	Professional	TC	$12.30	$18.20	$20.42