Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.20 / $106.24 / $221.79	Facility	26	$61.20	$106.24	$221.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $86.11 / $154.57	Professional		$79.62	$86.11	$154.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.66 / $61.20 / $111.97	Professional	26	$58.66	$61.20	$111.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $105.89 / $152.53	Professional		$79.22	$105.89	$152.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.98 / $74.83 / $107.79	Professional	26	$55.98	$74.83	$107.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $151.91 / $1,087.59	Professional		$101.94	$151.91	$1,087.59
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $79.87 / $139.05	Professional	26	$71.31	$79.87	$139.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $139.47 / $319.77	Professional		$70.55	$139.47	$319.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.43 / $89.16 / $167.03	Professional	26	$50.43	$89.16	$167.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $109.73 / $135.33	Professional		$91.44	$109.73	$135.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $77.73 / $95.87	Professional	26	$64.78	$77.73	$95.87
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $98.10 / $120.71 / $221.28	Facility	26	$98.10	$120.71	$221.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $113.00 / $219.00	Professional		$34.00	$113.00	$219.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $115.01 / $311.12	Professional		$44.49	$115.01	$311.12
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $67.86 / $90.27 / $148.56	Professional	26	$67.86	$90.27	$148.56
United Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $124.95 / $312.85	Professional		$75.73	$124.95	$312.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $83.16 / $110.39	Professional	26	$54.00	$83.16	$110.39