Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.35 / $383.74 / $797.91	Facility	26	$90.35	$383.74	$797.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.17 / $940.81 / $2,276.76	Professional		$859.17	$940.81	$2,276.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $771.35 / $850.45 / $2,058.08	Professional	TC	$771.35	$850.45	$2,058.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $737.50 / $930.16 / $1,237.10	Professional		$737.50	$930.16	$1,237.10
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $175.72 / $814.31 / $1,083.03	Professional	TC	$175.72	$814.31	$1,083.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.56 / $863.18 / $4,884.66	Professional		$432.56	$863.18	$4,884.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.70 / $777.89 / $4,433.12	Professional	TC	$270.70	$777.89	$4,433.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.02 / $2,269.08 / $2,269.08	Professional		$1,025.02	$2,269.08	$2,269.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $101.28 / $223.80 / $223.80	Professional	26	$101.28	$223.80	$223.80
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $923.74 / $2,045.30 / $2,045.30	Professional	TC	$923.74	$2,045.30	$2,045.30
United Facility/Professional Professional Modifier Low / Median / High Price $551.01 / $1,103.66 / $3,217.00	Professional		$551.01	$1,103.66	$3,217.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $473.14 / $1,113.74 / $2,899.71	Professional	TC	$473.14	$1,113.74	$2,899.71