Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.04 / $48.07 / $196.61	Facility	26	$39.04	$48.07	$196.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $75.79 / $128.07	Professional		$58.04	$75.79	$128.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $43.54 / $74.98	Professional	26	$38.17	$43.54	$74.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $88.82 / $133.24	Professional		$67.94	$88.82	$133.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $47.55 / $71.33	Professional	26	$36.71	$47.55	$71.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $144.12	Professional		$80.06	$80.06	$144.12
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $43.78 / $43.78 / $82.74	Professional	26	$43.78	$43.78	$82.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $91.01 / $179.61	Professional		$70.47	$91.01	$179.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $56.81 / $107.01	Professional	26	$40.94	$56.81	$107.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $83.40 / $127.05	Professional		$66.72	$83.40	$127.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.64 / $43.30 / $73.47	Professional	26	$34.64	$43.30	$73.47
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.26 / $52.62 / $110.26	Facility	26	$52.26	$52.62	$110.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $62.00 / $132.00	Professional		$27.00	$62.00	$132.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $72.97 / $136.58	Professional		$27.61	$72.97	$136.58
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $42.72 / $53.11 / $91.07	Professional	26	$42.72	$53.11	$91.07
United Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $82.03 / $131.47	Professional		$57.77	$82.03	$131.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $51.68 / $81.34	Professional	26	$34.46	$51.68	$81.34