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 / $652.94	Facility	26	$118.59	$286.98	$652.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $546.25	Professional		$400.00	$425.00	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $121.62 / $140.00	Professional	26	$118.59	$121.62	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $299.00 / $385.24	Professional	TC	$281.41	$299.00	$385.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $652.39 / $666.83 / $3,114.34	Professional		$652.39	$666.83	$3,114.34
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $103.58 / $116.26 / $126.72	Professional	26	$103.58	$116.26	$126.72
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $495.51 / $550.57 / $864.22	Professional	TC	$495.51	$550.57	$864.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.05 / $1,165.40 / $1,868.37	Professional		$524.05	$1,165.40	$1,868.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.49 / $148.72 / $315.63	Professional	26	$86.49	$148.72	$315.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $412.88 / $943.43 / $1,635.40	Professional	TC	$412.88	$943.43	$1,635.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.53 / $943.97 / $943.97	Professional		$419.53	$943.97	$943.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.71 / $224.57 / $224.57	Professional	26	$102.71	$224.57	$224.57
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $316.83 / $719.39 / $719.39	Professional	TC	$316.83	$719.39	$719.39
United Facility/Professional Professional Modifier Low / Median / High Price $359.37 / $645.79 / $1,454.19	Professional		$359.37	$645.79	$1,454.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $115.46 / $345.96	Professional	26	$73.00	$115.46	$345.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.41 / $820.09 / $1,108.23	Professional	TC	$314.41	$820.09	$1,108.23