Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.35 / $56.30 / $128.58	Facility	26	$35.35	$56.30	$128.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $272.48 / $424.90	Professional		$149.38	$272.48	$424.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $35.36 / $71.54	Professional	26	$33.11	$35.36	$71.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.18 / $309.12 / $435.50	Professional		$226.18	$309.12	$435.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $42.66 / $59.82	Professional	26	$33.36	$42.66	$59.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $529.24 / $785.25	Professional		$165.56	$529.24	$785.25
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $43.62 / $54.52	Professional	26	$41.42	$43.62	$54.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $298.12 / $570.64	Professional		$161.03	$298.12	$570.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $52.41 / $82.75	Professional	26	$30.31	$52.41	$82.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.73 / $363.11 / $373.85	Professional		$260.73	$363.11	$373.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $47.59 / $49.58	Professional	26	$36.65	$47.59	$49.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $43.55 / $43.55 / $68.00	Facility	26	$43.55	$43.55	$68.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $281.00 / $547.01	Professional		$53.00	$281.00	$547.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $303.27 / $655.12	Professional		$47.75	$303.27	$655.12
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $41.74 / $53.34 / $83.84	Professional	26	$41.74	$53.34	$83.84
United Facility/Professional Professional Modifier Low / Median / High Price $131.12 / $363.95 / $611.51	Professional		$131.12	$363.95	$611.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.61 / $51.37 / $79.66	Professional	26	$31.61	$51.37	$79.66