Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $416.34 / $734.74 / $1,641.83	Facility	26	$416.34	$734.74	$1,641.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $801.12 / $1,461.09	Professional		$740.75	$801.12	$1,461.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $412.78 / $416.34 / $745.39	Professional	26	$412.78	$416.34	$745.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.49 / $1,072.60 / $1,552.24	Professional		$838.49	$1,072.60	$1,552.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $418.32 / $529.79 / $741.53	Professional	26	$418.32	$529.79	$741.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.64 / $1,076.14 / $2,781.11	Professional		$928.64	$1,076.14	$2,781.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $519.38 / $519.38 / $605.04	Professional	26	$519.38	$519.38	$605.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.44 / $1,115.88 / $2,255.84	Professional		$763.44	$1,115.88	$2,255.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $401.58 / $676.77 / $1,164.88	Professional	26	$401.58	$676.77	$1,164.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.28 / $1,241.34 / $1,303.94	Professional		$920.28	$1,241.34	$1,303.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $456.79 / $599.09 / $660.54	Professional	26	$456.79	$599.09	$660.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $781.29 / $916.00 / $1,361.54	Facility	26	$781.29	$916.00	$1,361.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $854.00 / $1,346.33	Professional		$423.00	$854.00	$1,346.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $383.60 / $939.90 / $1,947.97	Professional		$383.60	$939.90	$1,947.97
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $515.92 / $689.05 / $1,096.30	Professional	26	$515.92	$689.05	$1,096.30
United Facility/Professional Professional Modifier Low / Median / High Price $555.22 / $1,055.77 / $1,506.81	Professional		$555.22	$1,055.77	$1,506.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $377.71 / $613.78 / $908.67	Professional	26	$377.71	$613.78	$908.67