Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.65 / $93.08 / $212.34	Facility	26	$49.65	$93.08	$212.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $160.13 / $299.37	Professional		$120.93	$160.13	$299.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.64 / $83.45 / $122.73	Professional	26	$49.64	$83.45	$122.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.87 / $200.04 / $313.45	Professional		$150.87	$200.04	$313.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.50 / $103.04 / $150.62	Professional	26	$61.50	$103.04	$150.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $204.10 / $1,705.58	Professional		$193.09	$204.10	$1,705.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $59.28 / $83.97 / $104.96	Professional	26	$59.28	$83.97	$104.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $255.02 / $648.19	Professional		$133.38	$255.02	$648.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.06 / $79.54 / $189.28	Professional	26	$56.06	$79.54	$189.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $195.38 / $240.22	Professional		$160.07	$195.38	$240.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.05 / $103.82 / $125.17	Professional	26	$84.05	$103.82	$125.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $83.07 / $94.00 / $225.66	Facility	26	$83.07	$94.00	$225.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $182.81 / $373.00	Professional		$75.00	$182.81	$373.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $240.53 / $646.54	Professional		$80.47	$240.53	$646.54
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $64.44 / $104.15 / $185.36	Professional	26	$64.44	$104.15	$185.36
United Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $242.10 / $633.23	Professional		$148.97	$242.10	$633.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.00 / $86.38 / $169.51	Professional	26	$51.00	$86.38	$169.51