Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $52.34 / $84.96	Facility	26	$46.77	$52.34	$84.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $91.01 / $174.20	Professional		$82.62	$91.01	$174.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $52.34 / $91.66	Professional	26	$40.95	$52.34	$91.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $101.79 / $139.60	Professional		$79.59	$101.79	$139.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.10 / $53.84 / $73.84	Professional	26	$42.10	$53.84	$73.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $143.50 / $974.00	Professional		$99.65	$143.50	$974.00
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $51.56 / $57.75 / $100.54	Professional	26	$51.56	$57.75	$100.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $116.40 / $201.53	Professional		$85.63	$116.40	$201.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $61.41 / $115.50	Professional	26	$44.28	$61.41	$115.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $99.16 / $123.40	Professional		$82.63	$99.16	$123.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $51.12 / $63.05	Professional	26	$42.60	$51.12	$63.05
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $55.21 / $66.70 / $89.90	Facility	26	$55.21	$66.70	$89.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $80.00 / $150.00	Professional		$51.00	$80.00	$150.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $103.30 / $208.10	Professional		$46.02	$103.30	$208.10
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $49.92 / $63.04 / $105.25	Professional	26	$49.92	$63.04	$105.25
United Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $119.97 / $174.78	Professional		$73.29	$119.97	$174.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $63.80 / $101.42	Professional	26	$38.40	$63.80	$101.42