Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $173.78 / $371.54	Facility	26	$51.29	$173.78	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $501.19	Professional		$165.96	$234.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $190.55	Professional	26	$51.29	$70.79	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $407.38	Professional	TC	$112.20	$173.78	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $1,348.96	Professional		$181.97	$251.19	$1,348.96
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $81.28	Professional	26	$57.54	$67.61	$81.28
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $165.96 / $218.78	Professional	TC	$147.91	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $645.65	Professional		$194.98	$331.13	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $69.18 / $162.18	Professional	26	$48.98	$69.18	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $275.42 / $512.86	Professional	TC	$144.54	$275.42	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $478.63	Professional		$177.83	$213.80	$478.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $125.89	Professional	26	$57.54	$67.61	$125.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $144.54 / $354.81	Professional	TC	$120.23	$144.54	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $616.60	Professional		$169.82	$281.84	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $190.55	Professional	26	$41.69	$72.44	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $229.09 / $426.58	Professional	TC	$123.03	$229.09	$426.58