Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.64 / $13.24 / $22.78	Facility	26	$7.64	$13.24	$22.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $28.45 / $51.85	Professional		$24.92	$28.45	$51.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $7.94 / $18.50	Professional	26	$7.33	$7.94	$18.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.65 / $38.60	Professional	TC	$17.57	$20.65	$38.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $35.10 / $51.29	Professional		$24.93	$35.10	$51.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $9.74 / $14.21	Professional	26	$7.81	$9.74	$14.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $25.35 / $37.10	Professional	TC	$16.03	$25.35	$37.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $33.97 / $76.56	Professional		$29.37	$33.97	$76.56
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $8.90 / $11.30	Professional	26	$8.90	$8.90	$11.30
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $23.29 / $29.11	Professional	TC	$20.47	$23.29	$29.11
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 $23.99 / $34.34 / $64.66	Professional		$23.99	$34.34	$64.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $10.88 / $19.46	Professional	26	$6.81	$10.88	$19.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $24.13 / $47.38	Professional	TC	$16.72	$24.13	$47.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $36.15 / $44.30	Professional		$30.12	$36.15	$44.30
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
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $26.73 / $32.76	Professional	TC	$22.28	$26.73	$32.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.15 / $15.00 / $26.90	Facility	26	$12.15	$15.00	$26.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $29.00 / $48.00	Professional		$11.00	$29.00	$48.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $33.47 / $61.43	Professional		$11.53	$33.47	$61.43
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.29 / $19.64	Professional	26	$8.73	$12.29	$19.64
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $29.71 / $49.78	Professional	TC	$21.10	$29.71	$49.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $34.14 / $55.82	Professional		$23.83	$34.14	$55.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $10.68 / $16.89	Professional	26	$7.04	$10.68	$16.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.27 / $23.82 / $41.85	Professional	TC	$16.27	$23.82	$41.85