Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.69 / $15.62 / $35.78	Facility	26	$8.69	$15.62	$35.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $17.73 / $34.15	Professional		$14.86	$17.73	$34.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $9.43 / $17.14	Professional	26	$8.26	$9.43	$17.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.65 / $7.93 / $16.39	Professional	TC	$6.65	$7.93	$16.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $21.62 / $32.42	Professional		$16.89	$21.62	$32.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.21 / $16.80	Professional	26	$8.91	$11.21	$16.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.97 / $10.22 / $16.89	Professional	TC	$7.97	$10.22	$16.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.05 / $100.23	Professional		$21.70	$22.05	$100.23
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $12.01 / $15.25	Professional	26	$10.84	$12.01	$15.25
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $10.03 / $10.03 / $18.98	Professional	TC	$10.03	$10.03	$18.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $27.69 / $47.45	Professional		$15.68	$27.69	$47.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.88 / $22.76	Professional	26	$7.95	$12.88	$22.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.34 / $12.76 / $26.18	Professional	TC	$7.34	$12.76	$26.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $21.73 / $25.39	Professional		$17.93	$21.73	$25.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $11.22 / $13.36	Professional	26	$9.09	$11.22	$13.36
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $8.84 / $10.61 / $12.48	Professional	TC	$8.84	$10.61	$12.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $17.00 / $29.75	Facility	26	$14.72	$17.00	$29.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.00 / $37.00	Professional		$12.00	$20.00	$37.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $24.45 / $42.27	Professional		$11.67	$24.45	$42.27
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $14.38 / $22.66	Professional	26	$10.22	$14.38	$22.66
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $9.10 / $13.07 / $20.91	Professional	TC	$9.10	$13.07	$20.91
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $25.49 / $44.02	Professional		$15.45	$25.49	$44.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $12.50 / $19.68	Professional	26	$8.02	$12.50	$19.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.84 / $11.67 / $22.44	Professional	TC	$6.84	$11.67	$22.44