Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $9.76 / $12.68	Professional	26	$8.41	$9.76	$12.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $23.67 / $30.07	Professional	TC	$19.11	$23.67	$30.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $12.12 / $18.46	Professional	26	$9.72	$12.12	$18.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.03 / $30.23 / $44.19	Professional	TC	$22.03	$30.23	$44.19
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.55 / $14.67	Professional	26	$11.22	$11.55	$14.67
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $27.04 / $28.20 / $35.81	Professional	TC	$27.04	$28.20	$35.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.65 / $24.07	Professional	26	$8.63	$13.65	$24.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $32.18 / $56.94	Professional	TC	$21.64	$32.18	$56.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $11.98 / $14.46	Professional	26	$9.69	$11.98	$14.46
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $31.46 / $38.54	Professional	TC	$26.21	$31.46	$38.54
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $15.15 / $24.18	Professional	26	$10.76	$15.15	$24.18
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $27.12 / $36.32 / $61.09	Professional	TC	$27.12	$36.32	$61.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $13.33 / $20.92	Professional	26	$8.61	$13.33	$20.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.25 / $32.09 / $49.27	Professional	TC	$21.25	$32.09	$49.27