Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.36 / $9.19 / $10.31	Facility	26	$7.36	$9.19	$10.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $34.38 / $115.31	Professional		$25.16	$34.38	$115.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.07 / $47.07 / $47.07	Professional	25	$47.07	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.88 / $26.67	Professional	26	$7.41	$8.88	$26.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $24.57 / $47.73	Professional	TC	$17.05	$24.57	$47.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $31.78 / $49.26	Professional		$31.78	$31.78	$49.26
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $8.23 / $12.76	Professional	26	$8.23	$8.23	$12.76
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.55 / $23.55 / $35.09	Professional	TC	$23.55	$23.55	$35.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $39.53 / $67.14	Professional		$27.20	$39.53	$67.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $9.84 / $17.86	Professional	26	$7.52	$9.84	$17.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $30.08 / $49.52	Professional	TC	$19.53	$30.08	$49.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $32.40 / $51.55	Professional		$25.01	$32.40	$51.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $8.93 / $13.22	Professional	26	$7.15	$8.93	$13.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.35 / $38.27	Professional	TC	$17.89	$23.35	$38.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $39.25 / $68.86	Professional		$28.10	$39.25	$68.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $8.99 / $14.69	Professional	26	$6.68	$8.99	$14.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $29.82 / $49.37	Professional	TC	$21.55	$29.82	$49.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $28.42 / $40.35	Professional		$28.42	$28.42	$40.35
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $8.11 / $11.77	Professional	26	$8.11	$8.11	$11.77
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $20.30 / $28.58	Professional	TC	$20.30	$20.30	$28.58