Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.96 / $103.40 / $249.88	Facility	26	$99.96	$103.40	$249.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $433.90 / $595.96	Professional		$253.88	$433.90	$595.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.88 / $500.20 / $780.60	Professional		$254.88	$500.20	$780.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $492.65 / $547.38 / $1,067.39	Professional		$492.65	$547.38	$1,067.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.04 / $435.31 / $923.46	Professional		$261.04	$435.31	$923.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.35 / $448.65 / $583.25	Professional		$381.35	$448.65	$583.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $84.77 / $102.42 / $129.65	Professional	26	$84.77	$102.42	$129.65
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $104.16 / $119.00 / $221.05	Facility	26	$104.16	$119.00	$221.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $236.12 / $604.07	Professional		$112.00	$236.12	$604.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $333.78 / $881.90	Professional		$106.70	$333.78	$881.90
United Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $417.53 / $813.23	Professional		$235.33	$417.53	$813.23