Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $127.77 / $386.08	Facility	26	$125.00	$127.77	$386.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $275.43	Professional	26	$90.00	$125.00	$275.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.89 / $114.39 / $161.16	Professional	26	$89.89	$114.39	$161.16
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $108.67 / $115.60 / $144.50	Professional	26	$108.67	$115.60	$144.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.50 / $145.07 / $225.24	Professional	26	$81.50	$145.07	$225.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.50 / $127.64 / $142.60	Professional	26	$108.50	$127.64	$142.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $158.22 / $158.22 / $158.22	Facility	26	$158.22	$158.22	$158.22
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $96.75 / $146.71 / $225.94	Professional	26	$96.75	$146.71	$225.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.47 / $129.69 / $184.67	Professional	26	$86.47	$129.69	$184.67