Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.16 / $11.78 / $15.14	Facility	26	$9.16	$11.78	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $59.38 / $243.00	Professional		$36.21	$59.38	$243.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $13.03 / $46.27	Professional	26	$9.38	$13.03	$46.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.29 / $37.79 / $71.09	Professional	TC	$26.29	$37.79	$71.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $47.85 / $74.17	Professional		$47.85	$47.85	$74.17
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $11.47 / $17.78	Professional	26	$11.47	$11.47	$17.78
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $36.38 / $36.38 / $56.39	Professional	TC	$36.38	$36.38	$56.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $65.06 / $105.41	Professional		$39.54	$65.06	$105.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $14.53 / $24.67	Professional	26	$9.73	$14.53	$24.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.26 / $49.77 / $84.59	Professional	TC	$29.26	$49.77	$84.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $46.35 / $81.31	Professional		$35.67	$46.35	$81.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.45 / $16.69	Professional	26	$8.91	$11.45	$16.69
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.83 / $34.97 / $64.78	Professional	TC	$26.83	$34.97	$64.78
United Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $63.97 / $106.72	Professional		$47.54	$63.97	$106.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $14.02 / $21.73	Professional	26	$10.64	$14.02	$21.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.40 / $50.18 / $79.87	Professional	TC	$36.40	$50.18	$79.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $57.59	Professional		$40.53	$40.53	$57.59
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $10.11 / $14.73	Professional	26	$10.11	$10.11	$14.73
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $30.41 / $42.87	Professional	TC	$30.41	$30.41	$42.87