Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.99 / $36.38 / $106.30	Facility	26	$25.99	$36.38	$106.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $50.94 / $65.73	Professional		$31.48	$50.94	$65.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $22.53 / $29.00	Professional	26	$19.55	$22.53	$29.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $61.31 / $91.96	Professional		$46.90	$61.31	$91.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.36 / $24.76 / $37.13	Professional	26	$19.36	$24.76	$37.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $55.73 / $105.33	Professional		$55.73	$55.73	$105.33
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $22.17 / $22.17 / $41.90	Professional	26	$22.17	$22.17	$41.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $55.09 / $119.62	Professional		$39.25	$55.09	$119.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $28.93 / $57.01	Professional	26	$21.07	$28.93	$57.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $57.40 / $85.80	Professional		$45.92	$57.40	$85.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $22.70 / $39.50	Professional	26	$18.16	$22.70	$39.50
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.49 / $25.75 / $59.06	Facility	26	$23.49	$25.75	$59.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $37.00 / $72.94	Professional		$18.68	$37.00	$72.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $40.25 / $90.48	Professional		$16.13	$40.25	$90.48
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $26.75 / $46.98	Professional	26	$21.91	$26.75	$46.98
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $51.12 / $92.09	Professional		$32.47	$51.12	$92.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $26.06 / $42.17	Professional	26	$17.77	$26.06	$42.17