Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $154.88 / $346.74	Facility	26	$125.89	$154.88	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $302.00	Professional	26	$87.10	$125.89	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $169.82	Professional	26	$81.28	$112.20	$169.82
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $144.54	Professional	26	$85.11	$85.11	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $123.03 / $190.55	Professional	26	$70.79	$123.03	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $112.20 / $117.49	Professional	26	$85.11	$112.20	$117.49
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $208.93	Professional	26	$93.33	$123.03	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $125.89 / $194.98	Professional	26	$75.86	$125.89	$194.98