Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $13.94 / $30.04	Facility	26	$7.79	$13.94	$30.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $30.39 / $39.31	Professional		$23.77	$30.39	$39.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.94 / $10.35	Professional	26	$6.90	$7.94	$10.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.82 / $56.75	Professional		$28.00	$38.82	$56.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $9.94 / $15.00	Professional	26	$7.90	$9.94	$15.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $38.44 / $85.81	Professional		$33.86	$38.44	$85.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $9.67 / $12.28	Professional	26	$9.66	$9.67	$12.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $38.58 / $71.06	Professional		$26.60	$38.58	$71.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $11.40 / $19.46	Professional	26	$7.02	$11.40	$19.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $39.69 / $48.64	Professional		$33.07	$39.69	$48.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.69 / $11.69	Professional	26	$7.85	$9.69	$11.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.00 / $12.81 / $26.90	Facility	26	$12.00	$12.81	$26.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $31.00 / $56.00	Professional		$12.00	$31.00	$56.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $37.25 / $68.14	Professional		$12.43	$37.25	$68.14
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $12.40 / $19.64	Professional	26	$9.11	$12.40	$19.64
United Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $38.68 / $64.01	Professional		$23.98	$38.68	$64.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $10.98 / $17.71	Professional	26	$7.04	$10.98	$17.71