Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.71 / $48.27 / $48.27	Facility	26	$41.71	$48.27	$48.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $62.79 / $78.01	Professional		$49.96	$62.79	$78.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.38 / $43.88 / $56.11	Professional	26	$35.38	$43.88	$56.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $72.23 / $113.78	Professional		$55.53	$72.23	$113.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.68 / $50.65 / $77.81	Professional	26	$39.68	$50.65	$77.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $77.03 / $209.34	Professional		$77.03	$77.03	$209.34
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $52.58 / $52.58 / $102.53	Professional	26	$52.58	$52.58	$102.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $85.96 / $141.94	Professional		$63.18	$85.96	$141.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.25 / $61.15 / $95.11	Professional	26	$43.25	$61.15	$95.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $70.98 / $91.92	Professional		$60.34	$70.98	$91.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.35 / $47.47 / $61.71	Professional	26	$40.35	$47.47	$61.71
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $51.78 / $54.04 / $119.33	Facility	26	$51.78	$54.04	$119.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $66.78 / $114.00	Professional		$28.17	$66.78	$114.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $74.90 / $134.27	Professional		$24.14	$74.90	$134.27
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $46.00 / $63.65 / $98.95	Professional	26	$46.00	$63.65	$98.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $85.54 / $131.57	Professional		$51.97	$85.54	$131.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $60.88 / $90.77	Professional	26	$36.79	$60.88	$90.77