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 / $493.60	Facility	26	$118.59	$276.31	$493.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.57 / $400.00 / $475.00	Professional		$390.57	$400.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $126.00 / $159.91	Professional	26	$118.59	$126.00	$159.91
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 $531.07 / $539.55 / $1,756.65	Professional		$531.07	$539.55	$1,756.65
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $88.78 / $96.77	Professional	26	$79.09	$88.78	$96.77
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $405.70 / $450.78 / $491.35	Professional	TC	$405.70	$450.78	$491.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.22 / $692.02 / $1,512.19	Professional		$424.22	$692.02	$1,512.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.93 / $112.72 / $239.36	Professional	26	$64.93	$112.72	$239.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $341.14 / $603.38 / $1,189.82	Professional	TC	$341.14	$603.38	$1,189.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.35 / $764.97 / $764.97	Professional		$339.35	$764.97	$764.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.11 / $169.77 / $169.77	Professional	26	$77.11	$169.77	$169.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $262.25 / $595.16 / $595.16	Professional	TC	$262.25	$595.16	$595.16
United Facility/Professional Professional Modifier Low / Median / High Price $290.07 / $532.32 / $1,178.44	Professional		$290.07	$532.32	$1,178.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.66 / $92.36 / $261.54	Professional	26	$62.66	$92.36	$261.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.49 / $772.30 / $916.90	Professional	TC	$244.49	$772.30	$916.90