Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $343.99 / $427.59 / $713.28	Facility	26	$343.99	$427.59	$713.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.93 / $1,383.17 / $2,359.26	Professional		$1,254.93	$1,383.17	$2,359.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $343.99 / $427.59 / $713.28	Professional	26	$343.99	$427.59	$713.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.01 / $1,419.61 / $1,978.66	Professional		$1,115.01	$1,419.61	$1,978.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $330.46 / $420.73 / $586.41	Professional	26	$330.46	$420.73	$586.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,423.58 / $3,089.86 / $9,079.11	Professional		$1,423.58	$3,089.86	$9,079.11
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $398.73 / $414.83 / $885.58	Professional	26	$398.73	$414.83	$885.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.86 / $1,634.66 / $3,213.70	Professional		$1,239.86	$1,634.66	$3,213.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $379.03 / $512.62 / $948.88	Professional	26	$379.03	$512.62	$948.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.68 / $1,350.82 / $1,673.75	Professional		$1,125.68	$1,350.82	$1,673.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $341.46 / $409.75 / $505.36	Professional	26	$341.46	$409.75	$505.36
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $589.76 / $637.32 / $650.16	Facility	26	$589.76	$637.32	$650.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $1,163.00 / $2,141.00	Professional		$482.00	$1,163.00	$2,141.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.01 / $1,414.72 / $6,073.00	Professional		$467.01	$1,414.72	$6,073.00
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $385.83 / $497.21 / $847.79	Professional	26	$385.83	$497.21	$847.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.76 / $1,745.38 / $2,590.00	Professional		$1,170.76	$1,745.38	$2,590.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $327.50 / $526.58 / $764.74	Professional	26	$327.50	$526.58	$764.74