Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.05 / $13.14	Facility		$9.77	$12.05	$13.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $16.36 / $47.73	Professional		$11.57	$16.36	$47.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $10.15 / $35.00	Professional	26	$7.64	$10.15	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.93 / $6.87 / $17.39	Professional	TC	$3.93	$6.87	$17.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $21.94 / $27.86	Professional		$18.71	$21.94	$27.86
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $13.83 / $13.91 / $17.80	Professional	26	$13.83	$13.91	$17.80
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.68 / $8.02 / $10.19	Professional	TC	$3.68	$8.02	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $11.69 / $32.84	Professional		$7.66	$11.69	$32.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $6.64 / $19.35	Professional	26	$0.14	$6.64	$19.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $4.70 / $13.49	Professional	TC	$0.10	$4.70	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $25.16 / $33.02	Professional		$20.97	$25.16	$33.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $14.74 / $24.00	Professional	26	$12.18	$14.74	$24.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $8.78 / $10.55 / $15.44	Professional	TC	$8.78	$10.55	$15.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $17.86 / $42.38	Professional		$12.21	$17.86	$42.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.38 / $20.32	Professional	26	$7.51	$9.38	$20.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.44 / $7.18 / $11.72	Professional	TC	$4.44	$7.18	$11.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $25.83 / $29.99	Professional		$18.75	$25.83	$29.99
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $14.74 / $17.69	Professional	26	$10.86	$14.74	$17.69
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $7.90 / $11.07 / $12.52	Professional	TC	$7.90	$11.07	$12.52