Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $109.98 / $114.57	Professional		$95.80	$109.98	$114.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.94 / $47.62 / $48.47	Professional	26	$42.94	$47.62	$48.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $72.98 / $152.29	Professional		$72.98	$72.98	$152.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.82 / $29.82 / $62.22	Professional	26	$29.82	$29.82	$62.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $133.94 / $174.52	Professional		$133.94	$133.94	$174.52
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $60.01 / $60.01 / $79.86	Professional	26	$60.01	$60.01	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $90.33 / $241.71	Professional		$58.52	$90.33	$241.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.27 / $36.01 / $100.18	Professional	26	$23.27	$36.01	$100.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $156.79 / $267.39	Professional		$120.61	$156.79	$267.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.53 / $64.39 / $103.32	Professional	26	$49.53	$64.39	$103.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $89.67 / $102.36 / $178.92	Facility	26	$89.67	$102.36	$178.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $134.00 / $275.00	Professional		$71.00	$134.00	$275.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $218.66 / $296.43	Professional		$93.51	$218.66	$296.43
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $76.01 / $93.56 / $120.35	Professional	26	$76.01	$93.56	$120.35
United Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $137.86 / $280.22	Professional		$82.12	$137.86	$280.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.52 / $57.74 / $114.61	Professional	26	$34.52	$57.74	$114.61