Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.17 / $11.96 / $48.92	Facility	26	$9.17	$11.96	$48.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.79 / $18.64	Professional	26	$9.16	$10.79	$18.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $16.50 / $28.34	Professional	TC	$13.83	$16.50	$28.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $20.88 / $58.79	Professional	26	$10.35	$20.88	$58.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $28.00 / $90.89	Professional	TC	$13.18	$28.00	$90.89
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $35.19	Professional	26	$18.62	$18.62	$35.19
CareFirst Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $30.00 / $56.70	Professional	TC	$30.00	$30.00	$56.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $32.60 / $63.18	Professional	26	$23.97	$32.60	$63.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.81 / $49.45 / $94.82	Professional	TC	$35.81	$49.45	$94.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.69 / $25.86 / $34.90	Professional	26	$20.69	$25.86	$34.90
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $40.78 / $55.69	Professional	TC	$33.00	$40.78	$55.69
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.45 / $27.15 / $55.06	Facility	26	$18.45	$27.15	$55.06
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $23.65 / $28.38 / $48.27	Professional	26	$23.65	$28.38	$48.27
Sentara Facility/Professional Professional Modifier TC Low / Median / High Price $34.72 / $42.53 / $73.28	Professional	TC	$34.72	$42.53	$73.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $27.51 / $32.61	Professional	26	$19.39	$27.51	$32.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $43.89 / $52.04	Professional	TC	$30.94	$43.89	$52.04