Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.37 / $470.79 / $906.61	Facility	26	$99.37	$470.79	$906.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $274.47 / $461.44	Professional		$254.80	$274.47	$461.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.94 / $99.37 / $237.68	Professional	26	$95.94	$99.37	$237.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.85 / $175.10 / $350.63	Professional	TC	$158.85	$175.10	$350.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $488.03 / $588.73 / $2,132.30	Professional		$488.03	$588.73	$2,132.30
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $116.11 / $124.56 / $145.01	Professional	26	$116.11	$124.56	$145.01
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $363.47 / $396.18 / $599.73	Professional	TC	$363.47	$396.18	$599.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $841.30 / $1,926.41	Professional		$457.22	$841.30	$1,926.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.56 / $163.92 / $461.54	Professional	26	$94.56	$163.92	$461.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $330.99 / $708.61 / $1,464.86	Professional	TC	$330.99	$708.61	$1,464.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.99 / $518.91 / $997.26	Professional		$432.99	$518.91	$997.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $112.29 / $130.02 / $245.63	Professional	26	$112.29	$130.02	$245.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $320.05 / $388.89 / $751.63	Professional	TC	$320.05	$388.89	$751.63
United Facility/Professional Professional Modifier Low / Median / High Price $383.15 / $642.91 / $1,513.70	Professional		$383.15	$642.91	$1,513.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.19 / $127.24 / $372.83	Professional	26	$82.19	$127.24	$372.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.69 / $402.82 / $1,140.86	Professional	TC	$254.69	$402.82	$1,140.86