Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.17 / $78.23 / $115.66	Facility	26	$52.17	$78.23	$115.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $346.06 / $593.73	Professional		$269.42	$346.06	$593.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $56.95 / $98.09	Professional	26	$49.69	$56.95	$98.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.27 / $393.62 / $620.21	Professional		$285.27	$393.62	$620.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.20 / $64.56 / $99.29	Professional	26	$50.20	$64.56	$99.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $426.88 / $832.42	Professional		$426.88	$426.88	$832.42
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $53.71 / $53.71 / $104.73	Professional	26	$53.71	$53.71	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.58 / $444.84 / $765.52	Professional		$254.58	$444.84	$765.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $75.78 / $130.11	Professional	26	$53.67	$75.78	$130.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.44 / $398.03 / $516.09	Professional		$337.44	$398.03	$516.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $50.37 / $62.22 / $77.04	Professional	26	$50.37	$62.22	$77.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $56.27 / $72.00 / $146.52	Facility	26	$56.27	$72.00	$146.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $332.00 / $605.75	Professional		$74.00	$332.00	$605.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $402.28 / $759.36	Professional		$74.56	$402.28	$759.36
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $56.42 / $79.20 / $126.61	Professional	26	$56.42	$79.20	$126.61
United Facility/Professional Professional Modifier Low / Median / High Price $204.20 / $370.60 / $706.24	Professional		$204.20	$370.60	$706.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.48 / $77.90 / $117.53	Professional	26	$45.48	$77.90	$117.53