Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.82 / $25.52 / $25.52	Facility	26	$19.82	$25.52	$25.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $34.90 / $83.05	Professional		$30.29	$34.90	$83.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $23.19 / $53.17	Professional	26	$19.84	$23.19	$53.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.67 / $16.28 / $21.84	Professional	52	$14.67	$16.28	$21.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.61 / $11.64 / $16.41	Professional	TC	$9.61	$11.64	$16.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $53.97	Professional		$36.22	$36.22	$53.97
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $23.43 / $34.90	Professional	26	$23.43	$23.43	$34.90
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $12.79 / $12.79 / $19.05	Professional	TC	$12.79	$12.79	$19.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $41.19 / $72.75	Professional		$31.73	$41.19	$72.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $26.82 / $46.31	Professional	26	$20.28	$26.82	$46.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $14.54 / $25.58	Professional	TC	$11.22	$14.54	$25.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $39.47 / $55.56	Professional		$31.01	$39.47	$55.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.28 / $24.10 / $34.43	Professional	26	$19.28	$24.10	$34.43
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $11.73 / $14.96 / $20.00	Professional	TC	$11.73	$14.96	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $36.57 / $63.54	Professional		$27.43	$36.57	$63.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $24.25 / $37.90	Professional	26	$18.48	$24.25	$37.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $12.59 / $19.60	Professional	TC	$9.27	$12.59	$19.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $29.58 / $50.63	Professional		$29.58	$29.58	$50.63
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $18.39 / $31.91	Professional	26	$18.39	$18.39	$31.91
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.19 / $11.19 / $18.71	Professional	TC	$11.19	$11.19	$18.71