Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.42 / $174.16 / $378.28	Facility	26	$96.42	$174.16	$378.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.38 / $102.84 / $157.34	Professional	26	$93.38	$102.84	$157.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.50 / $123.37 / $173.01	Professional	26	$96.50	$123.37	$173.01
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $125.52 / $128.12 / $137.16	Professional	26	$125.52	$128.12	$137.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.44 / $124.44 / $124.44	Facility	26	$124.44	$124.44	$124.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.46 / $147.01 / $268.30	Professional	26	$88.46	$147.01	$268.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.60 / $138.11 / $143.86	Professional	26	$106.60	$138.11	$143.86
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $172.22 / $190.96 / $336.65	Facility	26	$172.22	$190.96	$336.65
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $120.38 / $160.11 / $260.39	Professional	26	$120.38	$160.11	$260.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.05 / $139.57 / $222.53	Professional	26	$93.05	$139.57	$222.53