Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.75 / $81.31 / $221.68	Facility	26	$30.75	$81.31	$221.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $295.37 / $714.79	Professional		$269.83	$295.37	$714.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.70 / $30.75 / $73.50	Professional	26	$29.70	$30.75	$73.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.13 / $264.62 / $640.38	Professional	TC	$240.13	$264.62	$640.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $393.27 / $780.88	Professional		$360.80	$393.27	$780.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $38.15 / $38.15 / $41.58	Professional	26	$38.15	$38.15	$41.58
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $322.64 / $322.64 / $351.69	Professional	TC	$322.64	$322.64	$351.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $525.94 / $1,519.68	Professional		$265.72	$525.94	$1,519.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.16 / $51.51 / $154.04	Professional	26	$29.16	$51.51	$154.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.56 / $474.43 / $1,365.64	Professional	TC	$236.56	$474.43	$1,365.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.54 / $710.92 / $710.92	Professional		$315.54	$710.92	$710.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.63 / $76.25 / $76.25	Professional	26	$34.63	$76.25	$76.25
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $280.92 / $634.66 / $634.66	Professional	TC	$280.92	$634.66	$634.66
United Facility/Professional Professional Modifier Low / Median / High Price $300.83 / $832.51 / $1,063.46	Professional		$300.83	$832.51	$1,063.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.29 / $39.09 / $114.06	Professional	26	$28.29	$39.09	$114.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.93 / $744.41 / $949.40	Professional	TC	$264.93	$744.41	$949.40