Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $288.40 / $446.68	Facility	26	$117.49	$288.40	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $954.99	Professional		$338.84	$467.74	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $269.15	Professional	26	$70.79	$125.89	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $794.33	Professional	TC	$263.03	$338.84	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $489.78 / $3,715.35	Professional		$95.50	$489.78	$3,715.35
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $87.10 / $93.33	Professional	26	$77.62	$87.10	$93.33
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $398.11 / $524.81	Professional	TC	$354.81	$398.11	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $1,584.89	Professional		$478.63	$891.25	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $100.00 / $199.53	Professional	26	$60.26	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $758.58 / $1,479.11	Professional	TC	$398.11	$758.58	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $851.14	Professional		$346.74	$416.87	$851.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $81.28 / $154.88	Professional	26	$70.79	$81.28	$154.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $338.84 / $707.95	Professional	TC	$281.84	$338.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,230.27	Professional		$363.08	$676.08	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $234.42	Professional	26	$61.66	$89.13	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $588.84 / $1,000.00	Professional	TC	$295.12	$588.84	$1,000.00