Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.18 / $84.63 / $155.65	Facility	26	$20.18	$84.63	$155.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $400.00 / $525.00	Professional		$47.47	$400.00	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.31 / $111.15 / $155.65	Professional	26	$12.31	$111.15	$155.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $55.02 / $91.85	Professional		$43.02	$55.02	$91.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $13.39 / $20.65	Professional	26	$10.63	$13.39	$20.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $78.59 / $2,914.46	Professional		$76.53	$78.59	$2,914.46
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $13.42 / $16.77	Professional	26	$12.98	$13.42	$16.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $87.56 / $140.13	Professional		$43.32	$87.56	$140.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $15.58 / $26.11	Professional	26	$9.57	$15.58	$26.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $52.37 / $64.18	Professional		$43.64	$52.37	$64.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $13.02 / $15.68	Professional	26	$10.54	$13.02	$15.68
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.85 / $20.13 / $36.34	Facility	26	$17.85	$20.13	$36.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $63.00 / $121.00	Professional		$16.00	$63.00	$121.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $73.59 / $119.03	Professional		$15.93	$73.59	$119.03
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $16.26 / $26.47	Professional	26	$12.16	$16.26	$26.47
United Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $70.61 / $136.83	Professional		$42.38	$70.61	$136.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.05 / $15.09 / $25.34	Professional	26	$9.05	$15.09	$25.34