Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $47.86	Facility	26	$40.74	$40.74	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $85.11	Professional		$52.48	$64.57	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $43.65 / $57.54	Professional	26	$38.02	$43.65	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $151.36	Professional		$60.26	$83.18	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $104.71	Professional	26	$42.66	$57.54	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $72.44 / $275.42	Professional		$24.55	$72.44	$275.42
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $64.57	Professional	26	$50.12	$50.12	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $50.12 / $72.44	Facility	26	$10.72	$50.12	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $138.04	Professional		$63.10	$83.18	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $93.33	Professional	26	$42.66	$57.54	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $89.13	Professional		$53.70	$70.79	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $46.77 / $60.26	Professional	26	$36.31	$46.77	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $70.79 / $138.04	Professional		$22.91	$70.79	$138.04
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $97.72	Professional	26	$44.67	$60.26	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $131.83	Professional		$51.29	$81.28	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $57.54 / $93.33	Professional	26	$37.15	$57.54	$93.33