Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $29.51 / $97.72	Facility	26	$19.05	$29.51	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $87.10	Professional		$33.11	$50.12	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $36.31	Professional	26	$19.05	$22.91	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $107.15	Professional		$47.86	$67.61	$107.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $42.66	Professional	26	$19.50	$26.92	$42.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $56.23 / $112.20	Professional		$20.42	$56.23	$112.20
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $22.91 / $29.51	Professional	26	$21.88	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $112.20	Professional		$37.15	$53.70	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $48.98	Professional	26	$19.95	$28.18	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $120.23	Professional		$40.74	$58.88	$120.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.39 / $47.86	Professional	26	$16.22	$22.39	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $93.33	Professional		$43.65	$54.95	$93.33
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $38.02	Professional	26	$28.84	$36.31	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $37.15 / $95.50	Professional		$15.14	$37.15	$95.50
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $45.71	Professional	26	$20.89	$26.92	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $85.11	Professional		$31.62	$47.86	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $42.66	Professional	26	$18.20	$25.12	$42.66