Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.18 / $13.05 / $24.68	Facility	26	$7.18	$13.05	$24.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $29.82 / $54.16	Professional		$22.18	$29.82	$54.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $7.83 / $15.97	Professional	26	$6.64	$7.83	$15.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.54 / $22.19 / $41.97	Professional	TC	$16.54	$22.19	$41.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $37.33 / $54.57	Professional		$27.99	$37.33	$54.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $9.27 / $13.90	Professional	26	$7.21	$9.27	$13.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.61 / $28.37 / $41.47	Professional	TC	$20.61	$28.37	$41.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $37.35 / $88.31	Professional		$32.77	$37.35	$88.31
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $9.31 / $11.82	Professional	26	$9.27	$9.31	$11.82
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $25.34 / $31.68	Professional	TC	$23.46	$25.34	$31.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $38.17 / $67.41	Professional		$25.69	$38.17	$67.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $10.76 / $18.37	Professional	26	$6.55	$10.76	$18.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $26.67 / $50.89	Professional	TC	$18.80	$26.67	$50.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $38.94 / $47.73	Professional		$32.45	$38.94	$47.73
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.33 / $11.11	Professional	26	$7.56	$9.33	$11.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.91 / $29.89 / $36.63	Professional	TC	$24.91	$29.89	$36.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.15 / $15.00 / $25.08	Facility	26	$12.15	$15.00	$25.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $30.00 / $52.00	Professional		$11.00	$30.00	$52.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $36.08 / $72.42	Professional		$11.95	$36.08	$72.42
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $11.71 / $18.12	Professional	26	$8.55	$11.71	$18.12
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $32.32 / $53.94	Professional	TC	$24.12	$32.32	$53.94
United Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $38.07 / $59.25	Professional		$25.42	$38.07	$59.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $10.55 / $16.96	Professional	26	$6.72	$10.55	$16.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $26.21 / $42.22	Professional	TC	$18.21	$26.21	$42.22