Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.62 / $315.94 / $738.23	Facility	26	$179.62	$315.94	$738.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.25 / $575.26 / $1,055.30	Professional		$531.25	$575.26	$1,055.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $174.38 / $180.94 / $355.11	Professional	26	$174.38	$180.94	$355.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $711.79 / $1,072.09	Professional		$558.29	$711.79	$1,072.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $182.55 / $233.44 / $350.48	Professional	26	$182.55	$233.44	$350.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.54 / $707.54 / $4,087.28	Professional		$707.54	$707.54	$4,087.28
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $219.07 / $219.07 / $219.07	Professional	26	$219.07	$219.07	$219.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.99 / $226.99 / $226.99	Facility	26	$226.99	$226.99	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.09 / $803.76 / $1,492.42	Professional		$543.09	$803.76	$1,492.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.60 / $264.08 / $497.22	Professional	26	$169.60	$264.08	$497.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.83 / $822.86 / $864.35	Professional		$602.83	$822.86	$864.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $198.11 / $259.86 / $270.69	Professional	26	$198.11	$259.86	$270.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $290.10 / $290.10 / $590.29	Facility	26	$290.10	$290.10	$590.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $578.00 / $982.84	Professional		$248.00	$578.00	$982.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $687.97 / $6,307.00	Professional		$247.73	$687.97	$6,307.00
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $196.74 / $285.19 / $436.09	Professional	26	$196.74	$285.19	$436.09
United Facility/Professional Professional Modifier Low / Median / High Price $485.97 / $789.70 / $1,183.49	Professional		$485.97	$789.70	$1,183.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $163.75 / $248.09 / $396.19	Professional	26	$163.75	$248.09	$396.19