Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $114.69 / $144.41	Professional		$113.60	$114.69	$144.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.22 / $34.11 / $158.65	Professional	26	$30.22	$34.11	$158.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $53.57 / $111.78	Professional		$53.57	$53.57	$111.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $16.27 / $33.95	Professional	26	$16.27	$16.27	$33.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $146.88 / $159.55	Professional		$129.99	$146.88	$159.55
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $32.46 / $34.11 / $45.34	Professional	26	$32.46	$34.11	$45.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $85.23 / $250.21	Professional		$51.85	$85.23	$250.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $21.19 / $68.23	Professional	26	$17.09	$21.19	$68.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $199.13 / $227.58	Professional		$153.18	$199.13	$227.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.39 / $46.01 / $55.20	Professional	26	$35.39	$46.01	$55.20
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $53.00 / $65.58 / $109.73	Facility	26	$53.00	$65.58	$109.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $110.00 / $213.00	Professional		$48.00	$110.00	$213.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $122.47 / $215.82	Professional		$46.17	$122.47	$215.82
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $34.60 / $40.69 / $68.23	Professional	26	$34.60	$40.69	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $134.91 / $210.59	Professional		$76.09	$134.91	$210.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.16 / $40.27 / $72.48	Professional	26	$24.16	$40.27	$72.48