Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.05 / $42.07 / $62.23	Facility	26	$28.05	$42.07	$62.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $53.44 / $96.58	Professional		$46.03	$53.44	$96.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.05 / $33.15 / $54.97	Professional	26	$28.05	$33.15	$54.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $58.16 / $79.76	Professional		$45.48	$58.16	$79.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.73 / $34.19 / $46.89	Professional	26	$26.73	$34.19	$46.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $88.57 / $160.53	Professional		$59.04	$88.57	$160.53
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $40.29 / $70.14	Professional	26	$33.63	$40.29	$70.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $63.03 / $117.59	Professional		$47.44	$63.03	$117.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.02 / $39.95 / $71.98	Professional	26	$28.02	$39.95	$71.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $55.66 / $68.64	Professional		$46.38	$55.66	$68.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.04 / $32.45 / $40.02	Professional	26	$27.04	$32.45	$40.02
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $43.86 / $58.39	Facility	26	$30.82	$43.86	$58.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $44.00 / $74.00	Professional		$23.00	$44.00	$74.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $56.51 / $584.00	Professional		$21.76	$56.51	$584.00
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $30.42 / $39.57 / $65.87	Professional	26	$30.42	$39.57	$65.87
United Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $58.74 / $103.29	Professional		$39.03	$58.74	$103.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $40.89 / $63.64	Professional	26	$23.90	$40.89	$63.64