Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $154.88 / $457.09	Facility	26	$117.49	$154.88	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $831.76	Professional		$398.11	$524.81	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $154.88	Professional	26	$70.79	$112.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $776.25	Professional		$407.38	$537.03	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $89.13 / $125.89	Professional	26	$66.07	$89.13	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $691.83 / $1,621.81	Professional		$109.65	$691.83	$1,621.81
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $112.20 / $134.90	Professional	26	$87.10	$112.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $1,047.13	Professional		$323.59	$549.54	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $154.88	Professional	26	$51.29	$87.10	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,380.38	Professional		$416.87	$524.81	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $83.18 / $208.93	Professional	26	$69.18	$83.18	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,023.29	Professional		$588.84	$741.31	$1,023.29
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $131.83 / $151.36	Professional	26	$107.15	$131.83	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $457.09 / $1,174.90	Professional		$87.10	$457.09	$1,174.90
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $162.18	Professional	26	$70.79	$93.33	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $831.76	Professional		$302.00	$478.63	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $75.86 / $138.04	Professional	26	$47.86	$75.86	$138.04