Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $169.82 / $489.78	Facility	26	$117.49	$169.82	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $851.14	Professional		$275.42	$426.58	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $616.60	Professional		$269.15	$371.54	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $2,137.96	Professional		$338.84	$457.09	$2,137.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $549.54 / $912.01	Professional		$251.19	$549.54	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $407.38	Professional		$263.03	$316.23	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $109.65	Professional	26	$69.18	$85.11	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $912.01	Professional		$660.69	$912.01	$912.01
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $141.25 / $165.96	Professional	26	$114.82	$141.25	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $549.54	Professional		$457.09	$457.09	$549.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $426.58 / $1,479.11	Professional		$100.00	$426.58	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $851.14	Professional		$245.47	$446.68	$851.14