Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $143.72 / $337.19	Facility	26	$125.00	$143.72	$337.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $160.44	Professional	26	$90.00	$125.00	$160.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.36 / $101.00 / $142.29	Professional	26	$79.36	$101.00	$142.29
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $80.90 / $96.01 / $125.44	Professional	26	$80.90	$96.01	$125.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.01 / $128.02 / $196.11	Professional	26	$72.01	$128.02	$196.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $95.56 / $112.43 / $125.62	Professional	26	$95.56	$112.43	$125.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.59 / $138.59 / $138.59	Facility	26	$138.59	$138.59	$138.59
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $85.41 / $128.16 / $197.36	Professional	26	$85.41	$128.16	$197.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.55 / $122.76 / $160.53	Professional	26	$75.55	$122.76	$160.53