Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $51.64 / $78.02	Professional		$40.54	$51.64	$78.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.56 / $8.34 / $12.82	Professional	26	$6.56	$8.34	$12.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.72 / $42.34 / $63.65	Professional	TC	$32.72	$42.34	$63.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $60.85 / $98.06	Professional		$39.95	$60.85	$98.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $9.33 / $15.04	Professional	26	$7.00	$9.33	$15.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.29 / $51.51 / $83.01	Professional	TC	$33.29	$51.51	$83.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $53.58 / $53.58	Professional		$48.23	$53.58	$53.58
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $8.06 / $8.06	Professional	26	$7.25	$8.06	$8.06
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $40.98 / $45.53 / $45.53	Professional	TC	$40.98	$45.53	$45.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $56.87 / $98.68	Professional		$40.25	$56.87	$98.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.61 / $17.26	Professional	26	$6.92	$9.61	$17.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.47 / $47.38 / $81.41	Professional	TC	$34.47	$47.38	$81.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $62.09 / $74.51	Professional		$52.78	$62.09	$74.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.27 / $11.12	Professional	26	$7.88	$9.27	$11.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $44.90 / $52.82 / $63.38	Professional	TC	$44.90	$52.82	$63.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $9.00 / $9.38 / $23.18	Facility	26	$9.00	$9.38	$23.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $58.00 / $96.00	Professional		$12.00	$58.00	$96.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $50.48 / $71.90	Professional		$10.40	$50.48	$71.90
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $10.50 / $15.67	Professional	26	$8.28	$10.50	$15.67
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $49.45 / $71.30	Professional	TC	$39.04	$49.45	$71.30
United Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $42.53 / $69.98	Professional		$33.08	$42.53	$69.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $7.82 / $12.34	Professional	26	$6.06	$7.82	$12.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.50 / $34.99 / $58.77	Professional	TC	$26.50	$34.99	$58.77