Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $85.11 / $125.89	Facility	26	$61.66	$85.11	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $338.84	Professional		$141.25	$169.82	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $213.80	Professional	26	$61.66	$81.28	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $295.12	Professional		$147.91	$199.53	$295.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $128.82	Professional	26	$63.10	$85.11	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $158.49 / $239.88	Professional		$63.10	$158.49	$239.88
CareFirst Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $70.79 / $97.72	Professional	26	$67.61	$70.79	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $316.23	Professional		$147.91	$190.55	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $138.04	Professional	26	$66.07	$85.11	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $281.84	Professional		$151.36	$190.55	$281.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $74.13 / $112.20	Professional	26	$58.88	$74.13	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $281.84	Professional		$158.49	$199.53	$281.84
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $125.89	Professional	26	$85.11	$107.15	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $316.23	Professional		$138.04	$138.04	$316.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $309.03	Professional		$81.28	$162.18	$309.03
Sentara Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $131.83	Professional	26	$66.07	$85.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $295.12	Professional		$125.89	$181.97	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $125.89	Professional	26	$54.95	$79.43	$125.89