Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $155.65 / $326.01	Facility	26	$118.59	$155.65	$326.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $425.00 / $600.00	Professional		$279.88	$425.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.70 / $126.00 / $157.13	Professional	26	$84.70	$126.00	$157.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $330.91 / $547.09	Professional		$258.77	$330.91	$547.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.83 / $96.08 / $148.63	Professional	26	$76.83	$96.08	$148.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $451.72 / $452.55 / $1,922.82	Professional		$451.72	$452.55	$1,922.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $92.08 / $100.24 / $127.65	Professional	26	$92.08	$100.24	$127.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.72 / $554.30 / $881.13	Professional		$237.72	$554.30	$881.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.50 / $113.79 / $202.24	Professional	26	$68.50	$113.79	$202.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.01 / $318.02 / $390.84	Professional		$265.01	$318.02	$390.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $93.39 / $113.53	Professional	26	$75.59	$93.39	$113.53
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $137.34 / $159.00 / $284.97	Facility	26	$137.34	$159.00	$284.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $397.00 / $797.00	Professional		$117.19	$397.00	$797.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $439.32 / $844.21	Professional		$127.30	$439.32	$844.21
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $89.92 / $126.33 / $190.30	Professional	26	$89.92	$126.33	$190.30
United Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $458.68 / $844.83	Professional		$252.54	$458.68	$844.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.56 / $108.94 / $175.97	Professional	26	$65.56	$108.94	$175.97