Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.26 / $33.33 / $84.43	Facility	26	$23.26	$33.33	$84.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $73.81 / $203.85	Professional		$64.04	$73.81	$203.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $23.27 / $47.41	Professional	26	$16.71	$23.27	$47.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $94.76 / $191.90	Professional		$71.91	$94.76	$191.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $26.93 / $39.29	Professional	26	$19.55	$26.93	$39.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $88.61 / $373.58	Professional		$84.78	$88.61	$373.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $28.74 / $36.50	Professional	26	$19.30	$28.74	$36.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $126.96 / $196.94	Professional		$62.53	$126.96	$196.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.46 / $25.09 / $51.65	Professional	26	$17.46	$25.09	$51.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $89.69 / $110.35	Professional		$74.73	$89.69	$110.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $27.15 / $32.33	Professional	26	$21.98	$27.15	$32.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.64 / $30.00 / $67.89	Facility	26	$26.64	$30.00	$67.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $33.00 / $156.68	Professional		$22.00	$33.00	$156.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $120.78 / $187.42	Professional		$27.78	$120.78	$187.42
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $29.14 / $54.41	Professional	26	$21.03	$29.14	$54.41
United Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $107.94 / $245.80	Professional		$63.29	$107.94	$245.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.50 / $25.95 / $43.96	Professional	26	$15.50	$25.95	$43.96