Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.31 / $41.75 / $170.76	Facility	26	$33.31	$41.75	$170.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $69.47 / $92.37	Professional		$52.50	$69.47	$92.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $37.39 / $52.81	Professional	26	$32.63	$37.39	$52.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $62.53 / $102.18	Professional		$34.72	$62.53	$102.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $37.60 / $83.68	Professional	26	$30.87	$37.60	$83.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $74.62 / $136.33	Professional		$74.62	$74.62	$136.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $38.68 / $38.68 / $73.11	Professional	26	$38.68	$38.68	$73.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $83.49 / $164.67	Professional		$64.51	$83.49	$164.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $49.23 / $91.79	Professional	26	$34.90	$49.23	$91.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $76.94 / $116.81	Professional		$61.55	$76.94	$116.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.79 / $37.24 / $63.24	Professional	26	$29.79	$37.24	$63.24
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $45.59 / $45.91 / $95.17	Facility	26	$45.59	$45.91	$95.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $57.00 / $121.00	Professional		$27.00	$57.00	$121.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $67.13 / $126.74	Professional		$26.97	$67.13	$126.74
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $46.35 / $79.48	Professional	26	$36.86	$46.35	$79.48
United Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $75.20 / $120.87	Professional		$53.06	$75.20	$120.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $45.71 / $73.02	Professional	26	$30.47	$45.71	$73.02