Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $229.43 / $447.12	Facility	26	$118.59	$229.43	$447.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $475.00	Professional		$400.00	$400.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $140.00	Professional	26	$118.59	$118.59	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $335.00	Professional	TC	$281.41	$299.00	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $405.68 / $413.32 / $1,459.85	Professional		$405.68	$413.32	$1,459.85
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $57.80 / $64.87 / $70.70	Professional	26	$57.80	$64.87	$70.70
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $313.61 / $348.45 / $463.44	Professional	TC	$313.61	$348.45	$463.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.41 / $603.87 / $1,119.77	Professional		$332.41	$603.87	$1,119.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.60 / $83.12 / $195.00	Professional	26	$47.60	$83.12	$195.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $282.39 / $504.72 / $989.90	Professional	TC	$282.39	$504.72	$989.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.81 / $554.28 / $554.28	Professional		$248.81	$554.28	$554.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.53 / $124.44 / $124.44	Professional	26	$56.53	$124.44	$124.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $192.28 / $429.83 / $429.83	Professional	TC	$192.28	$429.83	$429.83
United Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $434.86 / $988.38	Professional		$248.14	$434.86	$988.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.12 / $67.58 / $191.10	Professional	26	$46.12	$67.58	$191.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.31 / $291.39 / $849.72	Professional	TC	$174.31	$291.39	$849.72