Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.02 / $13.18	Facility		$9.77	$12.02	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $52.48	Professional		$14.13	$19.95	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $26.30 / $83.18	Professional	26	$10.00	$26.30	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $7.24 / $27.54	Professional	TC	$5.89	$7.24	$27.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.98 / $22.39	Professional		$8.71	$16.98	$22.39
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.48 / $15.14	Professional	26	$10.23	$11.48	$15.14
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $7.76 / $9.77	Professional	TC	$3.72	$7.76	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $11.75 / $37.15	Professional		$0.24	$11.75	$37.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.14 / $6.61 / $19.95	Professional	26	$0.14	$6.61	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.10 / $4.68 / $14.45	Professional	TC	$0.10	$4.68	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $33.11	Professional		$20.89	$25.12	$33.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.79 / $23.99	Professional	26	$11.75	$14.79	$23.99
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $10.72 / $16.22	Professional	TC	$8.91	$10.72	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $36.31	Professional		$12.30	$17.78	$36.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.47 / $20.42	Professional	26	$7.76	$10.47	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.68 / $7.24 / $14.13	Professional	TC	$4.68	$7.24	$14.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $32.36	Professional		$18.62	$28.84	$32.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $18.20	Professional	26	$10.96	$16.22	$18.20
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $12.59 / $14.13	Professional	TC	$7.94	$12.59	$14.13