Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.16 / $24.02 / $98.24	Facility	26	$19.16	$24.02	$98.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $47.87 / $59.37	Professional		$28.37	$47.87	$59.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $21.35 / $24.79	Professional	26	$18.35	$21.35	$24.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $60.13 / $90.20	Professional		$45.99	$60.13	$90.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $23.97 / $35.96	Professional	26	$18.73	$23.97	$35.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $52.95 / $117.35	Professional		$52.95	$52.95	$117.35
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $21.11 / $39.90	Professional	26	$21.11	$21.11	$39.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $52.88 / $113.80	Professional		$38.51	$52.88	$113.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $28.29 / $52.76	Professional	26	$20.03	$28.29	$52.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $56.32 / $80.03	Professional		$45.06	$56.32	$80.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $21.63 / $36.38	Professional	26	$17.30	$21.63	$36.38
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $24.37 / $28.09 / $54.67	Facility	26	$24.37	$28.09	$54.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $37.00 / $68.00	Professional		$16.00	$37.00	$68.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $37.88 / $84.51	Professional		$15.51	$37.88	$84.51
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $27.09 / $43.32	Professional	26	$20.77	$27.09	$43.32
United Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $48.84 / $82.81	Professional		$32.03	$48.84	$82.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $25.73 / $40.27	Professional	26	$17.52	$25.73	$40.27