Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.53 / $52.53 / $52.53	Facility	26	$52.53	$52.53	$52.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $384.52 / $989.59	Professional		$316.31	$384.52	$989.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $331.03 / $867.22	Professional	TC	$264.98	$331.03	$867.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $419.57 / $692.29	Professional		$377.61	$419.57	$692.29
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $329.28 / $365.86 / $398.79	Professional	TC	$329.28	$365.86	$398.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.73 / $1,095.80 / $1,831.51	Professional		$361.73	$1,095.80	$1,831.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $271.56 / $981.70 / $1,595.56	Professional	TC	$271.56	$981.70	$1,595.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.69 / $990.09 / $990.09	Professional		$453.69	$990.09	$990.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.30 / $124.75 / $124.75	Professional	26	$56.30	$124.75	$124.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $397.39 / $865.34 / $865.34	Professional	TC	$397.39	$865.34	$865.34
United Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $385.74 / $1,253.80	Professional		$177.59	$385.74	$1,253.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.86 / $510.84 / $1,095.82	Professional	TC	$171.86	$510.84	$1,095.82