Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $257.04 / $407.38	Facility	26	$117.49	$257.04	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $831.76	Professional		$234.42	$398.11	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $141.25 / $295.12	Professional	26	$67.61	$141.25	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $288.40 / $602.56	Professional	TC	$169.82	$288.40	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $363.08 / $1,949.84	Professional		$87.10	$363.08	$1,949.84
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $77.62 / $128.82	Professional	26	$70.79	$77.62	$128.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $251.19 / $416.87	Professional	TC	$223.87	$251.19	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,000.00	Professional		$309.03	$512.86	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $181.97	Professional	26	$53.70	$75.86	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $436.52 / $812.83	Professional	TC	$234.42	$436.52	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $549.54	Professional		$239.88	$281.84	$549.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $74.13 / $141.25	Professional	26	$63.10	$74.13	$141.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $208.93 / $416.87	Professional	TC	$173.78	$208.93	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $851.14	Professional		$234.42	$457.09	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $213.80	Professional	26	$45.71	$79.43	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $346.74 / $676.08	Professional	TC	$190.55	$346.74	$676.08