Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $40.74	Professional		$13.80	$18.20	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $25.12 / $67.61	Professional	26	$8.91	$25.12	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.08 / $16.22	Professional	TC	$5.01	$7.08	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $19.05	Professional		$9.12	$9.12	$19.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $5.37 / $11.22	Professional	26	$5.37	$5.37	$11.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $3.72 / $7.76	Professional	TC	$3.72	$3.72	$7.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $22.91	Professional		$8.32	$13.18	$22.91
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Professional	26	$12.30	$12.30	$12.30
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $9.33 / $9.77	Professional	TC	$9.33	$9.33	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $34.67	Professional		$8.91	$12.59	$34.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $7.59 / $23.99	Professional	26	$5.50	$7.59	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $5.13 / $14.13	Professional	TC	$3.02	$5.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $27.54	Professional		$19.50	$24.55	$27.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.49 / $15.85	Professional	26	$11.22	$13.49	$15.85
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $10.47 / $12.30	Professional	TC	$8.13	$10.47	$12.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $39.81	Facility		$17.78	$26.92	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.62 / $33.11	Facility		$8.91	$18.62	$33.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.44 / $40.74	Professional		$10.00	$23.44	$40.74
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.78 / $27.54	Professional	26	$13.49	$17.78	$27.54
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $10.72 / $20.89	Professional	TC	$7.41	$10.72	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $43.65	Professional		$12.59	$21.88	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.88 / $25.70	Professional	26	$7.76	$12.88	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $7.59 / $16.98	Professional	TC	$3.89	$7.59	$16.98