Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $190.55 / $478.63	Facility	26	$66.07	$190.55	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,258.93	Professional		$323.59	$501.19	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $81.28 / $251.19	Professional	26	$48.98	$81.28	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $354.81 / $891.25	Professional	TC	$269.15	$354.81	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,548.82 / $2,238.72	Professional		$398.11	$1,548.82	$2,238.72
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $77.62 / $104.71	Professional	26	$72.44	$77.62	$104.71
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $831.76 / $933.25	Professional	TC	$371.54	$831.76	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,659.59	Professional		$380.19	$707.95	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $114.82 / $338.84	Professional	26	$63.10	$114.82	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $588.84 / $1,862.09	Professional	TC	$323.59	$588.84	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $1,023.29	Professional		$467.74	$549.54	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $89.13 / $165.96	Professional	26	$77.62	$89.13	$165.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $457.09 / $870.96	Professional	TC	$398.11	$457.09	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,548.82	Professional		$436.52	$588.84	$1,548.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $95.50 / $245.47	Professional	26	$66.07	$95.50	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $489.78 / $1,288.25	Professional	TC	$371.54	$489.78	$1,288.25