Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.36 / $28.36 / $28.46	Facility	26	$28.36	$28.36	$28.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $73.87 / $174.92	Professional		$46.02	$73.87	$174.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $28.36 / $39.90	Professional	26	$26.07	$28.36	$39.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $208.52 / $292.27	Professional		$162.34	$208.52	$292.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $36.29 / $50.98	Professional	26	$28.25	$36.29	$50.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $240.59 / $250.31	Professional		$174.39	$240.59	$250.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $40.90 / $42.60	Professional	26	$31.12	$40.90	$42.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $28.75 / $28.93 / $71.73	Facility	26	$28.75	$28.93	$71.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $223.85 / $350.42	Professional		$41.00	$223.85	$350.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $69.34 / $295.07	Professional		$27.73	$69.34	$295.07
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $29.42 / $40.27 / $69.55	Professional	26	$29.42	$40.27	$69.55
United Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $119.46 / $211.42	Professional		$64.66	$119.46	$211.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $39.20 / $55.83	Professional	26	$25.12	$39.20	$55.83