Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $134.90 / $436.52	Facility	26	$120.23	$134.90	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $371.54	Professional	26	$70.79	$125.89	$371.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $138.04	Professional	26	$63.10	$89.13	$138.04
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $85.11 / $112.20	Professional	26	$74.13	$85.11	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $97.72 / $147.91	Professional	26	$53.70	$97.72	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $87.10 / $97.72	Professional	26	$67.61	$87.10	$97.72
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $109.65 / $134.90	Professional	26	$104.71	$109.65	$134.90
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $162.18	Professional	26	$75.86	$95.50	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $138.04	Professional	26	$58.88	$93.33	$138.04