Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $382.26 / $460.81 / $696.05	Facility	26	$382.26	$460.81	$696.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.03 / $1,265.92 / $2,133.32	Professional		$1,130.03	$1,265.92	$2,133.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $307.20 / $382.27 / $640.29	Professional	26	$307.20	$382.27	$640.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.06 / $1,279.63 / $1,783.55	Professional		$1,005.06	$1,279.63	$1,783.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $295.52 / $376.27 / $524.44	Professional	26	$295.52	$376.27	$524.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,283.42 / $2,893.36 / $10,072.83	Professional		$1,283.42	$2,893.36	$10,072.83
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $356.57 / $370.86 / $795.76	Professional	26	$356.57	$370.86	$795.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.97 / $1,521.85 / $2,903.94	Professional		$1,129.97	$1,521.85	$2,903.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $340.23 / $460.04 / $848.25	Professional	26	$340.23	$460.04	$848.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.70 / $1,217.64 / $1,508.84	Professional		$1,014.70	$1,217.64	$1,508.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $304.64 / $365.58 / $450.88	Professional	26	$304.64	$365.58	$450.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $529.26 / $569.59 / $580.77	Facility	26	$529.26	$569.59	$580.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $1,098.00 / $2,006.00	Professional		$431.00	$1,098.00	$2,006.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $417.88 / $1,322.18 / $6,073.00	Professional		$417.88	$1,322.18	$6,073.00
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $345.24 / $446.24 / $760.89	Professional	26	$345.24	$446.24	$760.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.21 / $1,634.85 / $2,517.42	Professional		$1,066.21	$1,634.85	$2,517.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $292.79 / $455.76 / $682.89	Professional	26	$292.79	$455.76	$682.89