Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $275.42 / $489.78	Facility	26	$117.49	$275.42	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $436.52 / $776.25	Professional		$177.83	$436.52	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $275.42	Professional	26	$83.18	$141.25	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $758.58	Professional	TC	$245.47	$338.84	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $489.78 / $2,344.23	Professional		$141.25	$489.78	$2,344.23
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $104.71	Professional	26	$69.18	$95.50	$104.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $354.81 / $467.74	Professional	TC	$323.59	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,071.52	Professional		$323.59	$575.44	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $218.78	Professional	26	$64.57	$91.20	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $501.19 / $891.25	Professional	TC	$257.04	$501.19	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $776.25	Professional		$331.13	$398.11	$776.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $89.13 / $169.82	Professional	26	$77.62	$89.13	$169.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $309.03 / $616.60	Professional	TC	$257.04	$309.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,174.90	Professional		$316.23	$512.86	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $97.72 / $263.03	Professional	26	$54.95	$97.72	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $416.87 / $912.01	Professional	TC	$245.47	$416.87	$912.01