Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $47.86 / $194.98	Facility	26	$38.90	$47.86	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $147.91	Professional		$61.66	$79.43	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $123.03	Professional	26	$38.02	$47.86	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $158.49	Professional		$70.79	$100.00	$158.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $53.70 / $85.11	Professional	26	$39.81	$53.70	$85.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $117.49	Professional		$38.90	$75.86	$117.49
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $51.29 / $61.66	Professional	26	$43.65	$51.29	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $169.82	Professional		$70.79	$91.20	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $100.00	Professional	26	$40.74	$56.23	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $181.97	Professional		$58.88	$85.11	$181.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $44.67 / $95.50	Professional	26	$32.36	$44.67	$95.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	26	$77.62	$77.62	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $72.44 / $147.91	Professional		$27.54	$72.44	$147.91
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $93.33	Professional	26	$42.66	$53.70	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $134.90	Professional		$57.54	$81.28	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $50.12 / $81.28	Professional	26	$35.48	$50.12	$81.28