Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.49 / $40.54 / $92.95	Facility	26	$34.49	$40.54	$92.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $84.46 / $135.38	Professional		$66.98	$84.46	$135.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $37.65 / $57.17	Professional	26	$31.54	$37.65	$57.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $93.03 / $146.33	Professional		$70.95	$93.03	$146.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $40.51 / $63.72	Professional	26	$31.72	$40.51	$63.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $84.43 / $164.64	Professional		$75.98	$84.43	$164.64
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $34.13 / $66.55	Professional	26	$32.20	$34.13	$66.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $108.20 / $186.32	Professional		$78.20	$108.20	$186.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.72 / $49.48 / $85.71	Professional	26	$34.72	$49.48	$85.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $93.42 / $118.25	Professional		$77.31	$93.42	$118.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.07 / $40.85 / $50.57	Professional	26	$33.07	$40.85	$50.57
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $49.45 / $79.65 / $99.80	Facility	26	$49.45	$79.65	$99.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $70.00 / $125.84	Professional		$47.00	$70.00	$125.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $93.18 / $169.52	Professional		$43.62	$93.18	$169.52
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $51.69 / $82.29	Professional	26	$37.31	$51.69	$82.29
United Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $113.48 / $169.96	Professional		$68.75	$113.48	$169.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.42 / $51.89 / $76.90	Professional	26	$30.42	$51.89	$76.90