Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.84 / $102.95 / $224.84	Facility	26	$57.84	$102.95	$224.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $335.59 / $534.83	Professional		$313.14	$335.59	$534.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.84 / $61.81 / $122.17	Professional	26	$57.84	$61.81	$122.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $387.56 / $546.00	Professional		$297.33	$387.56	$546.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.72 / $74.14 / $103.49	Professional	26	$57.72	$74.14	$103.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.82 / $628.62 / $932.69	Professional		$407.82	$628.62	$932.69
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $71.39 / $71.39 / $89.24	Professional	26	$71.39	$71.39	$89.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $432.38 / $720.70	Professional		$259.77	$432.38	$720.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.35 / $91.14 / $144.47	Professional	26	$52.35	$91.14	$144.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.35 / $452.42 / $468.36	Professional		$326.35	$452.42	$468.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $62.85 / $81.40 / $84.79	Professional	26	$62.85	$81.40	$84.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $100.14 / $100.14 / $117.00	Facility	26	$100.14	$100.14	$117.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $430.00 / $644.29	Professional		$92.00	$430.00	$644.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $408.07 / $1,142.00	Professional		$82.30	$408.07	$1,142.00
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $92.95 / $145.15	Professional	26	$71.50	$92.95	$145.15
United Facility/Professional Professional Modifier Low / Median / High Price $300.54 / $450.80 / $760.76	Professional		$300.54	$450.80	$760.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.47 / $98.01 / $140.32	Professional	26	$55.47	$98.01	$140.32