Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $135.04 / $315.41	Facility	26	$125.00	$135.04	$315.41
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 $74.55 / $95.31 / $138.19	Professional	26	$74.55	$95.31	$138.19
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $90.27 / $93.99 / $117.49	Professional	26	$90.27	$93.99	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.70 / $121.65 / $210.19	Professional	26	$67.70	$121.65	$210.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.09 / $104.81 / $117.36	Professional	26	$89.09	$104.81	$117.36
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $97.55 / $127.00 / $140.09	Facility	26	$97.55	$127.00	$140.09
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $94.44 / $124.36 / $185.31	Professional	26	$94.44	$124.36	$185.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.70 / $110.64 / $178.20	Professional	26	$70.70	$110.64	$178.20