Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.41 / $97.85 / $208.31	Facility	26	$64.41	$97.85	$208.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $263.37 / $413.85	Professional		$181.55	$263.37	$413.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $62.59 / $92.60	Professional	26	$51.64	$62.59	$92.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $239.41 / $395.03	Professional		$186.85	$239.41	$395.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.06 / $67.98 / $105.82	Professional	26	$54.06	$67.98	$105.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.56 / $337.26 / $1,267.32	Professional		$282.56	$337.26	$1,267.32
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $65.98 / $65.98 / $83.79	Professional	26	$65.98	$65.98	$83.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $399.98 / $627.89	Professional		$171.62	$399.98	$627.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $79.02 / $146.38	Professional	26	$48.65	$79.02	$146.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $229.46 / $281.91	Professional		$191.22	$229.46	$281.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.58 / $66.19 / $80.26	Professional	26	$53.58	$66.19	$80.26
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $91.41 / $216.75	Facility	26	$83.00	$91.41	$216.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $306.00 / $569.00	Professional		$82.92	$306.00	$569.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $341.51 / $607.41	Professional		$86.25	$341.51	$607.41
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $63.39 / $84.48 / $133.77	Professional	26	$63.39	$84.48	$133.77
United Facility/Professional Professional Modifier Low / Median / High Price $185.56 / $321.14 / $560.17	Professional		$185.56	$321.14	$560.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.76 / $77.52 / $116.93	Professional	26	$45.76	$77.52	$116.93