Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $144.35 / $337.09	Facility	26	$125.00	$144.35	$337.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $165.70	Professional	26	$90.00	$125.00	$165.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.17 / $103.29 / $145.52	Professional	26	$81.17	$103.29	$145.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $98.07 / $105.25 / $131.56	Professional	26	$98.07	$105.25	$131.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.55 / $128.80 / $199.85	Professional	26	$73.55	$128.80	$199.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.22 / $114.37 / $128.03	Professional	26	$97.22	$114.37	$128.03
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $87.37 / $131.29 / $203.19	Professional	26	$87.37	$131.29	$203.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $119.65 / $171.83	Professional	26	$66.45	$119.65	$171.83