Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $155.65 / $267.22	Facility	26	$118.59	$155.65	$267.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.99 / $425.00 / $600.00	Professional		$275.99	$425.00	$600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.46 / $325.39 / $537.98	Professional		$254.46	$325.39	$537.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $472.52 / $485.33 / $1,857.85	Professional		$472.52	$485.33	$1,857.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.02 / $561.61 / $917.39	Professional		$253.02	$561.61	$917.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $312.45 / $383.28	Professional		$260.37	$312.45	$383.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $68.66 / $84.82 / $102.70	Professional	26	$68.66	$84.82	$102.70
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $115.14 / $133.00 / $246.75	Facility	26	$115.14	$133.00	$246.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $417.00 / $847.00	Professional		$106.16	$417.00	$847.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $470.16 / $819.11	Professional		$108.18	$470.16	$819.11
United Facility/Professional Professional Modifier Low / Median / High Price $249.64 / $448.18 / $821.67	Professional		$249.64	$448.18	$821.67