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 / $361.81	Facility	26	$118.59	$229.43	$361.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $475.00	Professional		$400.00	$425.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.13 / $118.59 / $140.00	Professional	26	$118.13	$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 $383.47 / $390.65 / $1,459.85	Professional		$383.47	$390.65	$1,459.85
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $58.18 / $65.30 / $71.18	Professional	26	$58.18	$65.30	$71.18
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $292.82 / $325.35 / $420.64	Professional	TC	$292.82	$325.35	$420.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.22 / $578.08 / $1,139.92	Professional		$339.22	$578.08	$1,139.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.91 / $83.58 / $176.66	Professional	26	$47.91	$83.58	$176.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.79 / $495.60 / $1,009.21	Professional	TC	$274.79	$495.60	$1,009.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.98 / $526.05 / $526.05	Professional		$235.98	$526.05	$526.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.89 / $124.44 / $124.44	Professional	26	$56.89	$124.44	$124.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $179.09 / $401.62 / $401.62	Professional	TC	$179.09	$401.62	$401.62
United Facility/Professional Professional Modifier Low / Median / High Price $238.47 / $502.55 / $807.85	Professional		$238.47	$502.55	$807.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $65.04 / $191.10	Professional	26	$23.28	$65.04	$191.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.05 / $391.93 / $866.63	Professional	TC	$184.05	$391.93	$866.63