Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.26 / $132.26 / $149.53	Facility	26	$132.26	$132.26	$149.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $342.31 / $415.16 / $574.10	Professional	TC	$342.31	$415.16	$574.10
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $333.77 / $438.76 / $548.45	Professional	TC	$333.77	$438.76	$548.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $386.26 / $568.40 / $1,139.17	Professional	TC	$386.26	$568.40	$1,139.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $88.40 / $129.66 / $176.81	Professional	26	$88.40	$129.66	$176.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $341.83 / $503.52 / $683.66	Professional	TC	$341.83	$503.52	$683.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $320.33 / $471.58 / $996.00	Professional	TC	$320.33	$471.58	$996.00
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $320.44 / $514.96 / $643.69	Professional	TC	$320.44	$514.96	$643.69