Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $286.98 / $693.72	Facility	26	$118.59	$286.98	$693.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $512.00	Professional		$400.00	$425.00	$512.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $254.47	Professional	26	$118.59	$126.00	$254.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $360.20	Professional	TC	$281.41	$299.00	$360.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.88 / $525.98 / $3,232.58	Professional		$524.88	$525.98	$3,232.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $121.15 / $129.12 / $164.29	Professional	26	$121.15	$129.12	$164.29
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $395.76 / $402.45 / $664.04	Professional	TC	$395.76	$402.45	$664.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.78 / $1,004.84 / $1,779.15	Professional		$430.78	$1,004.84	$1,779.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.17 / $157.99 / $335.35	Professional	26	$92.17	$157.99	$335.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $307.85 / $789.85 / $1,251.56	Professional	TC	$307.85	$789.85	$1,251.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.15 / $774.91 / $774.91	Professional		$347.15	$774.91	$774.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.45 / $238.60 / $238.60	Professional	26	$109.45	$238.60	$238.60
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $237.70 / $536.30 / $536.30	Professional	TC	$237.70	$536.30	$536.30
United Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $537.72 / $1,193.75	Professional		$353.70	$537.72	$1,193.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.15 / $126.13 / $367.56	Professional	26	$88.15	$126.13	$367.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.32 / $466.04 / $826.19	Professional	TC	$250.32	$466.04	$826.19