Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $125.00 / $125.00	Facility	26	$50.88	$125.00	$125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $235.00	Professional	26	$90.00	$125.00	$235.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.28 / $33.26	Professional	26	$15.85	$20.28	$33.26
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $37.06 / $39.43 / $49.29	Professional	26	$37.06	$39.43	$49.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.16 / $40.99 / $64.81	Professional	26	$23.16	$40.99	$64.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $36.47 / $37.99	Professional	26	$28.15	$36.47	$37.99
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $46.08 / $46.50	Facility	26	$33.86	$46.08	$46.50
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.42 / $65.79	Professional	26	$31.62	$41.42	$65.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $40.28 / $64.13	Professional	26	$25.29	$40.28	$64.13