Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.41 / $66.20 / $222.85	Facility	26	$51.41	$66.20	$222.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $261.20 / $418.14	Professional		$208.43	$261.20	$418.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $58.18 / $83.00	Professional	26	$51.30	$58.18	$83.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $301.04 / $471.72	Professional		$231.52	$301.04	$471.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.10 / $65.22 / $101.00	Professional	26	$52.10	$65.22	$101.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $358.07 / $1,085.29	Professional		$356.58	$358.07	$1,085.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $63.79 / $63.79 / $81.01	Professional	26	$63.79	$63.79	$81.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.40 / $400.33 / $677.09	Professional		$215.40	$400.33	$677.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.44 / $75.37 / $137.26	Professional	26	$46.44	$75.37	$137.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.89 / $289.07 / $354.25	Professional		$240.89	$289.07	$354.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.15 / $63.19 / $77.11	Professional	26	$51.15	$63.19	$77.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $87.93 / $180.48	Facility	26	$80.00	$87.93	$180.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $330.00 / $573.00	Professional		$79.73	$330.00	$573.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $357.18 / $624.63	Professional		$82.72	$357.18	$624.63
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $60.92 / $81.61 / $129.22	Professional	26	$60.92	$81.61	$129.22
United Facility/Professional Professional Modifier Low / Median / High Price $223.86 / $363.77 / $564.19	Professional		$223.86	$363.77	$564.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.14 / $74.50 / $112.40	Professional	26	$45.14	$74.50	$112.40