Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.72 / $8.24 / $12.81	Facility	26	$7.72	$8.24	$12.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $31.75 / $115.23	Professional		$25.23	$31.75	$115.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $8.26 / $30.43	Professional	26	$6.59	$8.26	$30.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.11 / $23.23 / $82.26	Professional	TC	$17.11	$23.23	$82.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $27.74 / $57.06	Professional		$26.17	$27.74	$57.06
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $7.78 / $8.78	Professional	26	$7.00	$7.78	$8.78
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $19.96 / $48.53	Professional	TC	$19.29	$19.96	$48.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $39.70 / $74.84	Professional		$25.36	$39.70	$74.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $10.02 / $18.69	Professional	26	$6.89	$10.02	$18.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $29.25 / $59.27	Professional	TC	$18.52	$29.25	$59.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $33.02 / $56.15	Professional		$25.60	$33.02	$56.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $9.03 / $14.44	Professional	26	$7.12	$9.03	$14.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $23.84 / $41.69	Professional	TC	$18.48	$23.84	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $35.97 / $59.67	Professional		$24.11	$35.97	$59.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $8.19 / $13.97	Professional	26	$6.05	$8.19	$13.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $26.07 / $43.97	Professional	TC	$17.18	$26.07	$43.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $29.44 / $36.44	Professional		$25.60	$29.44	$36.44
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $8.19 / $10.31	Professional	26	$7.12	$8.19	$10.31
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $21.25 / $26.57	Professional	TC	$18.48	$21.25	$26.57