Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.01 / $394.03 / $780.70	Facility	26	$96.01	$394.03	$780.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $127.94 / $197.12	Professional		$121.05	$127.94	$197.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.99 / $96.01 / $206.38	Professional	26	$91.99	$96.01	$206.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.06 / $31.93 / $100.62	Professional	TC	$29.06	$31.93	$100.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.35 / $151.35 / $1,894.41	Professional		$151.35	$151.35	$1,894.41
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $120.06 / $120.06 / $265.31	Professional	26	$120.06	$120.06	$265.31
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $31.29 / $31.29 / $931.04	Professional	TC	$31.29	$31.29	$931.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $349.59 / $903.05	Professional		$130.26	$349.59	$903.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.49 / $160.12 / $469.82	Professional	26	$92.49	$160.12	$469.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.83 / $140.93 / $742.94	Professional	TC	$38.83	$140.93	$742.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $324.87 / $324.87	Professional		$152.66	$324.87	$324.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.83 / $237.79 / $237.79	Professional	26	$109.83	$237.79	$237.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.85 / $87.08 / $87.08	Professional	TC	$42.85	$87.08	$87.08
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $209.09 / $1,473.11	Professional		$136.41	$209.09	$1,473.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.95 / $147.43 / $589.26	Professional	26	$79.95	$147.43	$589.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.10 / $115.67 / $883.85	Professional	TC	$38.10	$115.67	$883.85