Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.46 / $273.74 / $497.86	Facility	26	$219.46	$273.74	$497.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $970.98 / $1,723.65	Professional		$886.22	$970.98	$1,723.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $219.46 / $273.74 / $464.87	Professional	26	$219.46	$273.74	$464.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.19 / $1,034.06 / $1,441.28	Professional		$812.19	$1,034.06	$1,441.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $211.40 / $269.14 / $375.14	Professional	26	$211.40	$269.14	$375.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,039.88 / $1,665.20 / $3,018.17	Professional		$1,039.88	$1,665.20	$3,018.17
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $255.07 / $264.91 / $578.74	Professional	26	$255.07	$264.91	$578.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.15 / $1,176.73 / $2,278.73	Professional		$901.15	$1,176.73	$2,278.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $246.60 / $334.63 / $606.14	Professional	26	$246.60	$334.63	$606.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.59 / $982.31 / $1,219.76	Professional		$818.59	$982.31	$1,219.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $217.95 / $261.54 / $322.57	Professional	26	$217.95	$261.54	$322.57
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $384.94 / $408.03 / $414.98	Facility	26	$384.94	$408.03	$414.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $839.00 / $1,554.02	Professional		$308.00	$839.00	$1,554.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $1,022.95 / $6,073.00	Professional		$299.74	$1,022.95	$6,073.00
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $249.81 / $321.94 / $550.02	Professional	26	$249.81	$321.94	$550.02
United Facility/Professional Professional Modifier Low / Median / High Price $820.61 / $1,227.27 / $1,836.49	Professional		$820.61	$1,227.27	$1,836.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $209.14 / $331.83 / $495.91	Professional	26	$209.14	$331.83	$495.91