Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $146.38 / $289.33	Facility	26	$79.09	$146.38	$289.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $148.34 / $306.83	Professional		$132.44	$148.34	$306.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $82.36 / $159.58	Professional	26	$67.62	$82.36	$159.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $184.71 / $305.38	Professional		$144.15	$184.71	$305.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.83 / $103.96 / $150.88	Professional	26	$83.83	$103.96	$150.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $192.34 / $1,871.60	Professional		$184.58	$192.34	$1,871.60
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $92.23 / $92.23 / $126.00	Professional	26	$92.23	$92.23	$126.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $248.75 / $709.96	Professional		$127.39	$248.75	$709.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.02 / $114.85 / $205.75	Professional	26	$73.02	$114.85	$205.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $178.10 / $218.82	Professional		$145.80	$178.10	$218.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.22 / $102.81 / $123.54	Professional	26	$83.22	$102.81	$123.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $130.22 / $149.00 / $285.68	Facility	26	$130.22	$149.00	$285.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $181.90 / $413.00	Professional		$102.00	$181.90	$413.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $230.25 / $706.71	Professional		$102.01	$230.25	$706.71
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $92.16 / $125.53 / $195.99	Professional	26	$92.16	$125.53	$195.99
United Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $238.93 / $698.70	Professional		$137.63	$238.93	$698.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.16 / $114.24 / $179.49	Professional	26	$74.16	$114.24	$179.49