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 / $538.04	Facility	26	$118.59	$276.31	$538.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $416.32 / $546.25	Professional		$400.00	$416.32	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $118.59 / $177.92	Professional	26	$118.59	$118.59	$177.92
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 $514.29 / $577.20 / $1,542.61	Professional		$514.29	$577.20	$1,542.61
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $86.17 / $96.20 / $104.86	Professional	26	$86.17	$96.20	$104.86
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $422.60 / $481.00 / $524.29	Professional	TC	$422.60	$481.00	$524.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.51 / $650.00 / $1,607.62	Professional		$459.51	$650.00	$1,607.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.38 / $123.50 / $261.79	Professional	26	$71.38	$123.50	$261.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.27 / $509.54 / $1,258.30	Professional	TC	$365.27	$509.54	$1,258.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.08 / $425.96 / $821.35	Professional		$355.08	$425.96	$821.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.77 / $98.15 / $185.06	Professional	26	$84.77	$98.15	$185.06
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $269.83 / $327.81 / $636.29	Professional	TC	$269.83	$327.81	$636.29
United Facility/Professional Professional Modifier Low / Median / High Price $307.73 / $506.80 / $1,261.32	Professional		$307.73	$506.80	$1,261.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.83 / $96.18 / $284.19	Professional	26	$61.83	$96.18	$284.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.48 / $443.19 / $977.13	Professional	TC	$233.48	$443.19	$977.13