Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $114.82 / $416.87	Facility	26	$57.54	$114.82	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $616.60	Professional		$288.40	$338.84	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $154.88	Professional	26	$54.95	$63.10	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $660.69	Professional		$302.00	$436.52	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $125.89	Professional	26	$60.26	$83.18	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $954.99	Professional		$239.88	$467.74	$954.99
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $67.61 / $104.71	Professional	26	$61.66	$67.61	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $676.08	Professional		$269.15	$426.58	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $91.20 / $144.54	Professional	26	$52.48	$91.20	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $478.63	Professional		$323.59	$446.68	$478.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $85.11	Professional	26	$61.66	$81.28	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $416.87	Professional		$309.03	$346.74	$416.87
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $102.33 / $123.03	Professional	26	$100.00	$102.33	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $407.38 / $1,202.26	Professional		$83.18	$407.38	$1,202.26
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $151.36	Professional	26	$70.79	$91.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $794.33	Professional		$269.15	$467.74	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $144.54	Professional	26	$54.95	$93.33	$144.54