Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $158.49 / $602.56	Facility	26	$125.89	$158.49	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $371.54	Professional	26	$89.13	$125.89	$371.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $177.83	Professional	26	$85.11	$117.49	$177.83
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $109.65 / $151.36	Professional	26	$97.72	$109.65	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $128.82 / $199.53	Professional	26	$74.13	$128.82	$199.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $114.82 / $128.82	Professional	26	$89.13	$114.82	$128.82
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $144.54 / $177.83	Professional	26	$109.65	$144.54	$177.83
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $128.82 / $218.78	Professional	26	$87.10	$128.82	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $190.55	Professional	26	$75.86	$123.03	$190.55