Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $337.00	Facility	26	$125.00	$125.00	$337.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $212.50	Professional	26	$90.00	$125.00	$212.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.28 / $100.15 / $148.29	Professional	26	$79.28	$100.15	$148.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $93.78 / $103.82 / $129.77	Professional	26	$93.78	$103.82	$129.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $122.56 / $192.68	Professional	26	$70.34	$122.56	$192.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.80 / $109.84 / $114.41	Professional	26	$84.80	$109.84	$114.41
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $136.97 / $136.97 / $138.36	Facility	26	$136.97	$136.97	$138.36
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $94.07 / $123.23 / $195.93	Professional	26	$94.07	$123.23	$195.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.26 / $112.89 / $189.67	Professional	26	$75.26	$112.89	$189.67