Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.89 / $11.71 / $20.85	Facility	26	$6.89	$11.71	$20.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $22.69 / $40.61	Professional		$20.14	$22.69	$40.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $7.01 / $14.04	Professional	26	$6.45	$7.01	$14.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.52 / $15.28 / $28.72	Professional	TC	$13.52	$15.28	$28.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $27.31 / $41.96	Professional		$21.84	$27.31	$41.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $8.80 / $13.22	Professional	26	$6.91	$8.80	$13.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.36 / $18.66 / $27.33	Professional	TC	$14.36	$18.66	$27.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $25.69 / $73.31	Professional		$25.69	$25.69	$73.31
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $8.19 / $10.40	Professional	26	$8.11	$8.19	$10.40
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $17.50 / $22.23	Professional	TC	$17.50	$17.50	$22.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $30.04 / $51.94	Professional		$18.95	$30.04	$51.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $9.75 / $17.21	Professional	26	$6.15	$9.75	$17.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $19.82 / $34.86	Professional	TC	$13.32	$19.82	$34.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $27.98 / $34.31	Professional		$23.32	$27.98	$34.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $8.57 / $10.33	Professional	26	$6.94	$8.57	$10.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $19.66 / $24.09	Professional	TC	$16.38	$19.66	$24.09
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $11.24 / $13.00 / $23.78	Facility	26	$11.24	$13.00	$23.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.49 / $39.11	Professional		$10.00	$23.49	$39.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $28.00 / $47.84	Professional		$10.48	$28.00	$47.84
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $7.77 / $10.85 / $17.38	Professional	26	$7.77	$10.85	$17.38
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $23.04 / $36.93	Professional	TC	$16.75	$23.04	$36.93
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $29.17 / $46.74	Professional		$19.45	$29.17	$46.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $9.32 / $15.12	Professional	26	$6.11	$9.32	$15.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.85 / $19.27 / $32.38	Professional	TC	$12.85	$19.27	$32.38