Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $24.55 / $34.67	Facility	26	$18.20	$24.55	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $181.97	Professional		$60.26	$83.18	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $69.18	Professional	26	$17.78	$22.91	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $186.21	Professional		$72.44	$109.65	$186.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.92 / $46.77	Professional	26	$18.62	$26.92	$46.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $83.18 / $109.65	Professional		$22.91	$83.18	$109.65
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.42 / $26.92	Professional	26	$18.20	$20.42	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $169.82	Professional		$39.81	$85.11	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $38.90	Professional	26	$18.20	$24.55	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $120.23	Professional		$79.43	$102.33	$120.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.99 / $28.84	Professional	26	$19.50	$23.99	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $158.49	Professional		$43.65	$61.66	$158.49
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.90 / $36.31	Professional	26	$24.55	$30.90	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $60.26 / $158.49	Professional		$19.50	$60.26	$158.49
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $37.15	Professional	26	$19.05	$25.12	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $72.44 / $151.36	Professional		$33.88	$72.44	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $22.39 / $38.02	Professional	26	$14.45	$22.39	$38.02