Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.58 / $241.04 / $605.07	Facility	26	$84.58	$241.04	$605.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.32 / $342.28 / $438.11	Professional		$315.32	$342.28	$438.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.58 / $84.58 / $204.68	Professional	26	$81.58	$84.58	$204.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.74 / $257.70 / $344.43	Professional	TC	$233.74	$257.70	$344.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $495.84 / $3,103.06	Professional		$488.04	$495.84	$3,103.06
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $105.35 / $105.35 / $122.86	Professional	26	$105.35	$105.35	$122.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $351.44 / $390.49 / $425.63	Professional	TC	$351.44	$390.49	$425.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.36 / $562.79 / $1,629.07	Professional		$413.36	$562.79	$1,629.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.20 / $138.53 / $392.66	Professional	26	$80.20	$138.53	$392.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.31 / $425.68 / $1,236.41	Professional	TC	$300.31	$425.68	$1,236.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.01 / $426.66 / $826.70	Professional		$356.01	$426.66	$826.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $95.25 / $110.29 / $208.11	Professional	26	$95.25	$110.29	$208.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $260.35 / $316.37 / $618.57	Professional	TC	$260.35	$316.37	$618.57
United Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $532.58 / $1,254.81	Professional		$292.83	$532.58	$1,254.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.48 / $233.75 / $315.88	Professional	26	$83.48	$233.75	$315.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.35 / $306.19 / $938.93	Professional	TC	$209.35	$306.19	$938.93