Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $245.47 / $389.05	Facility	26	$52.48	$245.47	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $602.56	Professional		$165.96	$223.87	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $165.96	Professional	26	$53.70	$74.13	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $144.54 / $389.05	Professional	TC	$109.65	$144.54	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $1,318.26	Professional		$151.36	$245.47	$1,318.26
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $77.62 / $109.65	Professional	26	$66.07	$77.62	$109.65
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $169.82 / $489.78	Professional	TC	$151.36	$169.82	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $537.03	Professional		$162.18	$331.13	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $169.82	Professional	26	$51.29	$72.44	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $257.04 / $426.58	Professional	TC	$109.65	$257.04	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $416.87	Professional		$181.97	$218.78	$416.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $69.18 / $131.83	Professional	26	$60.26	$69.18	$131.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $147.91 / $288.40	Professional	TC	$123.03	$147.91	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $630.96	Professional		$165.96	$281.84	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $75.86 / $199.53	Professional	26	$43.65	$75.86	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $229.09 / $436.52	Professional	TC	$117.49	$229.09	$436.52