Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $194.98	Professional		$61.66	$114.82	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $316.23	Professional	26	$19.05	$22.91	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $85.11	Professional		$38.90	$38.90	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $23.99	Professional	26	$11.22	$11.22	$23.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $134.90 / $158.49	Professional		$23.99	$134.90	$158.49
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $28.18	Professional	26	$26.92	$26.92	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $223.87	Professional		$44.67	$81.28	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.22 / $50.12	Professional	26	$12.30	$16.22	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $181.97	Professional		$128.82	$169.82	$181.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.20 / $35.48	Professional	26	$25.12	$30.20	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $165.96 / $263.03	Professional		$38.02	$165.96	$263.03
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $60.26	Professional	26	$28.18	$38.90	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $229.09	Professional		$67.61	$109.65	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.18 / $56.23	Professional	26	$16.98	$28.18	$56.23