Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $276.31 / $665.38	Facility	26	$118.59	$276.31	$665.38
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 / $281.41 / $335.00	Professional	TC	$281.41	$281.41	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $448.21 / $457.75 / $1,800.36	Professional		$448.21	$457.75	$1,800.36
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $85.88 / $96.33 / $105.00	Professional	26	$85.88	$96.33	$105.00
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $325.27 / $361.42 / $480.69	Professional	TC	$325.27	$361.42	$480.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.69 / $710.93 / $1,283.33	Professional		$361.69	$710.93	$1,283.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.76 / $123.95 / $264.06	Professional	26	$71.76	$123.95	$264.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $265.69 / $575.80 / $974.78	Professional	TC	$265.69	$575.80	$974.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $656.99 / $656.99	Professional		$293.98	$656.99	$656.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.22 / $186.01 / $186.01	Professional	26	$85.22	$186.01	$186.01
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $208.76 / $470.98 / $470.98	Professional	TC	$208.76	$470.98	$470.98
United Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $459.79 / $1,012.10	Professional		$268.11	$459.79	$1,012.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.83 / $96.23 / $286.56	Professional	26	$61.83	$96.23	$286.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.94 / $378.56 / $725.54	Professional	TC	$218.94	$378.56	$725.54