Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.59 / $184.08 / $463.70	Facility	26	$64.59	$184.08	$463.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $394.38 / $954.39	Professional		$361.56	$394.38	$954.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.35 / $64.59 / $156.30	Professional	26	$62.35	$64.59	$156.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $299.20 / $329.79 / $798.09	Professional	TC	$299.20	$329.79	$798.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $477.95 / $1,030.53	Professional		$438.49	$477.95	$1,030.53
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $85.56 / $86.31 / $93.26	Professional	26	$85.56	$86.31	$93.26
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $352.93 / $352.93 / $384.69	Professional	TC	$352.93	$352.93	$384.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.31 / $354.31 / $2,041.21	Professional		$354.31	$354.31	$2,041.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.31 / $115.45 / $323.39	Professional	26	$61.31	$115.45	$323.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.00 / $293.00 / $1,717.81	Professional	TC	$293.00	$293.00	$1,717.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.75 / $946.59 / $946.59	Professional		$420.75	$946.59	$946.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.81 / $159.49 / $159.49	Professional	26	$72.81	$159.49	$159.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $347.94 / $787.10 / $787.10	Professional	TC	$347.94	$787.10	$787.10
United Facility/Professional Professional Modifier Low / Median / High Price $330.04 / $501.10 / $1,416.00	Professional		$330.04	$501.10	$1,416.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.15 / $82.62 / $238.58	Professional	26	$60.15	$82.62	$238.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.68 / $308.77 / $1,177.42	Professional	TC	$262.68	$308.77	$1,177.42