Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $41.69	Professional		$12.88	$19.95	$41.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $10.23	Professional	26	$2.00	$3.98	$10.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.79 / $28.18	Professional	TC	$10.96	$14.79	$28.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $15.49 / $23.99	Professional		$2.88	$15.49	$23.99
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $2.57 / $4.47	Professional	26	$2.57	$2.57	$4.47
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.13 / $21.88	Professional	TC	$14.13	$14.13	$21.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $40.74	Professional		$15.14	$25.70	$40.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $5.50 / $8.32	Professional	26	$2.57	$5.50	$8.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $20.42 / $32.36	Professional	TC	$12.02	$20.42	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $28.18	Professional		$14.79	$19.05	$28.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $2.34 / $2.95 / $4.68	Professional	26	$2.34	$2.95	$4.68
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $16.22 / $21.88	Professional	TC	$12.59	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $43.65	Professional		$18.20	$26.30	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $5.50 / $8.71	Professional	26	$3.80	$5.50	$8.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.89 / $34.67	Professional	TC	$14.45	$20.89	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $24.55	Professional		$15.85	$20.42	$24.55
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $3.24 / $3.98	Professional	26	$2.75	$3.24	$3.98
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $16.98 / $20.89	Professional	TC	$12.88	$16.98	$20.89