Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $143.15 / $356.34	Facility	26	$125.00	$143.15	$356.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $320.19	Professional	26	$90.00	$125.00	$320.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.11 / $127.40 / $179.48	Professional	26	$100.11	$127.40	$179.48
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $121.08 / $127.39 / $159.24	Professional	26	$121.08	$127.39	$159.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.81 / $161.29 / $248.94	Professional	26	$90.81	$161.29	$248.94
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $121.57 / $143.03 / $159.54	Professional	26	$121.57	$143.03	$159.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $175.05 / $175.05 / $285.00	Facility	26	$175.05	$175.05	$285.00
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $107.80 / $162.25 / $253.15	Professional	26	$107.80	$162.25	$253.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $96.83 / $145.24 / $206.76	Professional	26	$96.83	$145.24	$206.76