Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.95 / $86.04 / $205.62	Facility	26	$79.95	$86.04	$205.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $258.82 / $442.90	Professional		$222.82	$258.82	$442.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.45 / $268.42 / $368.13	Professional		$207.45	$268.42	$368.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $431.71 / $974.00	Professional		$277.27	$431.71	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $308.48 / $530.75	Professional		$202.13	$308.48	$530.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $236.64 / $291.86	Professional		$197.20	$236.64	$291.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $85.19 / $105.07	Professional	26	$70.98	$85.19	$105.07
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $103.99 / $127.54 / $156.19	Facility	26	$103.99	$127.54	$156.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $213.73 / $371.00	Professional		$99.00	$213.73	$371.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $251.21 / $561.49	Professional		$101.28	$251.21	$561.49
United Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $305.87 / $460.28	Professional		$183.63	$305.87	$460.28